Organization Active NPI

Orthopedic Surgical Specialist & Rehabilitation PLLC

  • Specialist
  • Kingston, NY
National Provider Identifier
1679753875
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
205109 Issued in NY
Legal business name
ORTHOPEDIC SURGICAL SPECIALIST & REHABILITATION PLLC
Practice address
90 Prince St
Kingston, NY 12401-4635
Phone
(845) 339-6637
Fax
(845) 339-1197
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Dr. Adam D Soyer, D.O.
Title
Director
Phone
(845) 339-6637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 205109 NY Primary

Addresses

Primary practice location

90 Prince St
Kingston, NY 12401-4635

Mailing address

90 Prince St
Kingston, NY 12401-4635
Phone (845) 339-6637

Other identifiers 4

IdentifierTypeStateIssuer
10032770OtherNYCDPHP
117600OtherNYGHI HMO
187009OtherNYMVP
652H61OtherNYBCBS

National Provider Directory

National Provider Directory

Locations

90 Prince St
Kingston, NY 12401
Phone (845) 339-6637

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1679753875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PRINCE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014635",
            "telephone_number": "845-339-6637",
            "fax_number": "845-339-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRINCE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014635",
            "telephone_number": "845-339-6637",
            "fax_number": "845-339-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGICAL SPECIALIST & REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "SOYER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-339-6637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "205109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10032770",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "117600",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "187009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "652H61",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.