Organization Active NPI

Progressive Orthopedic PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1720399066
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
138111 Issued in NY
Legal business name
PROGRESSIVE ORTHOPEDIC PLLC
Practice address
2035 Ralph Ave Ste A8
Brooklyn, NY 11234-5300
Phone
(718) 531-4545
Fax
(718) 531-4550
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Paul Ackerman, MD
Title
Medical Director
Phone
(718) 531-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 138111 NY Primary

Addresses

Primary practice location

2035 Ralph Ave Ste A8
Brooklyn, NY 11234-5300

Mailing address

2035 Ralph Ave Ste A8
Brooklyn, NY 11234-5300
Phone (718) 531-4545

National Provider Directory

National Provider Directory

Locations

2035 Ralph Ave
Ste A8
Brooklyn, NY 11234
Phone (646) 631-9103

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1720399066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE STE A8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-531-4545",
            "fax_number": "718-531-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE STE A8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-531-4545",
            "fax_number": "718-531-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ORTHOPEDIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-531-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "138111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.