Northeast Orthopedics and Sports Medicine PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC

Practice address

785 State Route 17M
Monroe, NY 10950-2623

Phone

(845) 356-2900

Fax

(845) 782-6752

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 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

Jordan A Simon, MDNPI 1225005572

Title

Owner

Phone

(845) 359-1877

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jordan A Simon, M.D.

  • Orthopaedic Surgery Physician
  • Orangeburg, NY
  • NPI 1225005572
  Authorized official Same address or phone

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1760807531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502623",
            "telephone_number": "845-356-2900",
            "fax_number": "845-782-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502623",
            "telephone_number": "845-356-2900",
            "fax_number": "845-782-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-359-1877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Newman, D.C.
• Laura Nicoll, MD
• Themistoklis J Nissirios, MD
• Angela Marie Nonnon, MSED
• Joan Norris
• Nourish Your Mind, LLC
• Kellyann Marie O'Connor
• Dawn Elizabeth O'Dell, LCSW
• Elizabeth Maria O'Shea, M.C.
• Elizabeth R Oelofse, COTA/L

• Durable Medical Equipment & Medical Supplies in Monroe, NY
• Providers in Monroe, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.