Deer Park Orthopedics P C

Primary specialty

SpecialistTaxonomy code 174400000X

License

216190 Issued in NY

Legal business name

DEER PARK ORTHOPEDICS P C

Practice address

468 Suffolk Ave
Brentwood, NY 11717-4207

Phone

(201) 343-3999

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Richard M Seldes, M.D.

Title

President

Phone

(201) 343-3999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1720537947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HACKENSACK AVE FL 10",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016409",
            "telephone_number": "201-343-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174207",
            "telephone_number": "201-343-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER PARK ORTHOPEDICS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "SELDES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-343-3999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "216190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis John Dasilva, D.C.
• Abigail De la Cruz
• Kenia E De la Rosa, LMSW
• Lillian Ivette De la Rosa, LCSW
• Joseph Lemuel De Leon, DMD
• Definition Home Care, LLC
• Ashley Dejesus
• Rosie Leann Del Rosario
• Kenia Delcid, RN
• Marlyn Delva, EDD, LMSW, MA

• Specialist in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.