Organization Active NPI

Manhattan Orthopedic & Sports Medicine, Group, P.C.

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1669677423
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2076931 Issued in NY
Legal business name
MANHATTAN ORTHOPEDIC & SPORTS MEDICINE, GROUP, P.C.
Practice address
57 West 57TH Street
15TH Floor
New York, NY 10019-2832
Phone
(212) 289-0700
Fax
(212) 289-0171
NPI assigned
Jun 20, 2007
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Rojas
Title
Coo
Phone
(212) 289-0700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2076931 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X 2035361 NY

Addresses

Primary practice location

57 West 57TH Street
15TH Floor
New York, NY 10019-2832

Mailing address

57 West 57TH Street
15TH Floor
New York, NY 10019-2832
Phone (212) 289-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000749 NY Part B Supplier - Clinic/Group Practice 1355356163 Receives reassigned benefits from 5 practitioners
Practice locations: Brooklyn, NY; Long Island City, NY; New York, NY

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1669677423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WEST 57TH STREET",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192832",
            "telephone_number": "212-289-0700",
            "fax_number": "212-289-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WEST 57TH STREET",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192832",
            "telephone_number": "212-289-0700",
            "fax_number": "212-289-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN ORTHOPEDIC & SPORTS MEDICINE, GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "212-289-0700"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "2076931",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "2035361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.