Advanced Orthopedics and Joint Preservation PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

233630 Issued in NY

Legal business name

ADVANCED ORTHOPEDICS AND JOINT PRESERVATION PC

Practice address

141 E Merrick Rd
Suite B
Valley Stream, NY 11580-5925

Phone

(516) 887-5500

Fax

(516) 887-5509

NPI assigned

Sep 21, 2012

Last updated

Sep 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stanislav Avshalumov, D.O., M.D.NPI 1730108291

Title

President

Phone

(516) 887-5500

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Stanislav Avshalumov, DO

  • Orthopaedic Surgery Physician
  • Valley Stream, NY
  • NPI 1730108291
  Medicare reassignment Care Compare group Authorized official
• Michael Francis Trepeta, D.O.

  • Pediatric Orthopaedic Surgery Physician
  • Valley Stream, NY
  • NPI 1164584553
  Medicare reassignment Care Compare group NPD
• Harrison Joseph Lave

  • Surgical Physician Assistant
  • Valley Stream, NY
  • NPI 1922625870
  Medicare reassignment Care Compare group
• Alexander Jason Wicker, PA-C

  • Physician Assistant
  • Valley Stream, NY
  • NPI 1841595097
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1689925372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E MERRICK RD",
            "address_2": "SUITE B",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805925",
            "telephone_number": "516-887-5500",
            "fax_number": "516-887-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E MERRICK RD",
            "address_2": "SUITE B",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805925",
            "telephone_number": "516-887-5500",
            "fax_number": "516-887-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPEDICS AND JOINT PRESERVATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "AVSHALUMOV",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-887-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "233630",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "233630",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "233630",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "233630",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "233630",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NY",
            "license": "233630",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "233630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughn Charles Adlam, OTR/L
• Klara Adolphe
• Esther Dawn Adonis, RN
• Shannon Adote-Lamptey
• Advanced Optometric Associates of Long Island, P.C.
• Advanced Women's OBGYN Health Care of L.I. P.C.
• Affordable RX, Inc. (Affordable Script)
• Melanie Afriat, RD, MS, CDN
• Agape Vision Inc (Agape Vision)
• Emelda Agard

• Orthopaedic Surgery Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.