Organization Active NPI

Nyconn Orthopaedic & Rehabilitation Specialists, PLLC

  • Specialist
  • New York, NY
National Provider Identifier
1841371614
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NYCONN ORTHOPAEDIC & REHABILITATION SPECIALISTS, PLLC
Practice address
1421 3Rd Ave
Penthouse
New York, NY 10028-1802
Phone
(212) 876-5400
Fax
(212) 288-2334
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
John D. Dowdle, M.D.
Title
Managing Member
Phone
(914) 249-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1421 3Rd Ave
Penthouse
New York, NY 10028-1802

Mailing address

2900 Westchester Ave
Suite 307
Purchase, NY 10577-2552
Phone (914) 249-7000

Other identifiers 1

IdentifierTypeStateIssuer
02736625003MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1841371614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WESTCHESTER AVE",
            "address_2": "SUITE 307",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772552",
            "telephone_number": "914-249-7000",
            "fax_number": "914-249-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 3RD AVE",
            "address_2": "PENTHOUSE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281802",
            "telephone_number": "212-876-5400",
            "fax_number": "212-288-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYCONN ORTHOPAEDIC & REHABILITATION SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "DOWDLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "914-249-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736625003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 10, 2008; 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.