NPIMap

Organization Active NPI

Somers Orthopaedic Surgery & Sports Medicine Group PLLC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Carmel, NY
National Provider Identifier
1720028384
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
SOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC
Practice address
664 Stoneleigh Ave Ste 300
Carmel, NY 10512-3990
Phone
(845) 278-8400
Fax
(845) 278-4326
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Joel Buchalter, MDNPI 1134142714
Title
President
Phone
(845) 278-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X Primary

Addresses

Primary practice location

664 Stoneleigh Ave Ste 300
Carmel, NY 10512-3990

Mailing address

664 Stoneleigh Ave Ste 300
Carmel, NY 10512-3990
Phone (845) 278-8400

Other identifiers 1

IdentifierTypeStateIssuer
CK5665OtherNYMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040325001391 NY Part B Supplier - Clinic/Group Practice 9638061674 Receives reassigned benefits from 38 practitioners
3 other NPIs on this enrollment
Practice locations: Fishkill, NY; Newburgh, NY; Mount Kisco, NY; Carmel, NY; Brewster, NY
O20100930055660 NY DME Supplier - Multi-Specialty - Physician 9638061674 Practice locations: Carmel, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

400 E Main St
Ste 1W
Mount Kisco, NY 10549
Phone (914) 242-8343

Practitioners & affiliated clinicians

Practitioners 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1720028384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE STE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123990",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE STE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123990",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "BUCHALTER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-278-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK5665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.