NPIMap

Organization Active NPI

Neal Mesnick, MD, LLC

Doing business as Advanced Sports Medicine & Rehabilitation

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1821239336
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
218683 Issued in NY
Legal business name
NEAL MESNICK, MD, LLC
Doing business as
Advanced Sports Medicine & Rehabilitation
Practice address
5 W 16TH St
New York, NY 10011-6307
Phone
(212) 414-8508
Fax
(212) 414-8509
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Neal Mesnick, M.D.NPI 1154310316
Title
Member
Phone
(212) 414-8508

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
Medical Specialty Clinic/Center 261QM2500X 218683 NY Primary

Addresses

Primary practice location

5 W 16TH St
New York, NY 10011-6307

Mailing address

5 W 16TH St
New York, NY 10011-6307
Phone (212) 414-8508

Other names 1

  • Advanced Sports Medicine & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090624000279 NY Part B Supplier - Clinic/Group Practice 0143296038 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1821239336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 16TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116307",
            "telephone_number": "212-414-8508",
            "fax_number": "212-414-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 16TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116307",
            "telephone_number": "212-414-8508",
            "fax_number": "212-414-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL MESNICK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "MESNICK",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-414-8508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "218683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Sports Medicine & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.