Regional Orthopaedics & Pain Management,PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

200402 Issued in NY

Legal business name

REGIONAL ORTHOPAEDICS & PAIN MANAGEMENT,PLLC

Practice address

75 Crystal Run Rd
Suite 206
Middletown, NY 10941-7000

Phone

(845) 673-1080

Fax

(845) 673-5320

NPI assigned

Feb 8, 2013

Last updated

Jun 6, 2014By 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. Bradley Wiener, M.D.NPI 1033110895

Title

Managing Partner

Phone

(845) 673-1080

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Bradley D Wiener, M.D

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Middletown, NY
  • NPI 1033110895
  Medicare reassignment NPD Authorized official
• Erica Deslandes, NP

  • Acute Care Nurse Practitioner
  • New York, NY
  • NPI 1316277080
  Medicare reassignment NPD
• Steven Craig Weinstein, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Middletown, NY
  • NPI 1497796684
  Medicare reassignment NPD

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1700125838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 206",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-673-1080",
            "fax_number": "845-673-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD",
            "address_2": "SUITE 206",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417000",
            "telephone_number": "845-673-1080",
            "fax_number": "845-673-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL ORTHOPAEDICS & PAIN MANAGEMENT,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "845-673-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430282",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "200402",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "202061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynne Reed, PA-C
• Channel Malissa Reeder, LMHC
• Jennifer Marie Regan
• Jill E Regan, CASAC
• Regional Economic Community Action Program, Inc.
• Amina Rehman, MD
• Muhammad Rehmani, M.D.
• Edward W. Reich, GENERAL DENTIST
• Susan A. Reilly
• Victoria N Reis

• Sports Medicine (Orthopaedic Surgery) Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.