Orangetown Orthopedic Associates,LLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

1671681 Issued in NY

Legal business name

ORANGETOWN ORTHOPEDIC ASSOCIATES,LLP

Practice address

99 Dutch Hill Rd
Orangeburg, NY 10962-2106

Phone

(845) 359-1877

Fax

(845) 359-2449

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jordan A. Simon, MD

Title

Partner

Phone

(845) 359-1877

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damien T Faillace, PA-C

  • Surgical Physician Assistant
  • Middletown, NY
  • NPI 1164728838
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1679690218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622106",
            "telephone_number": "845-359-1877",
            "fax_number": "845-359-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DUTCH HILL RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622106",
            "telephone_number": "845-359-1877",
            "fax_number": "845-359-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGETOWN ORTHOPEDIC ASSOCIATES,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "845-359-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1671681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01087383",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00497585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nys Office of Mental Health
• Kristin Ogozaly
• Sun S Oh
• Ingrid H Olhoffer, M.D.
• Gregory Oommen, DPT
• Orangetown Podiatry PC
• Orthotic & Prosthetic Arts
• Jane Osuna, LCSW
• Lisa M Palko
• Jaehyun Rita Park, OTR/L

• Specialist in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.