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

350 S Main St
New City, NY 10956-3049

Phone

(845) 634-7500

Fax

(845) 634-7566

NPI assigned

Mar 3, 2014

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, MD

Title

Owner

Phone

(845) 359-1877

Specialties & licenses 1

Addresses

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": "1891110656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563049",
            "telephone_number": "845-634-7500",
            "fax_number": "845-634-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563049",
            "telephone_number": "845-634-7500",
            "fax_number": "845-634-7566"
        }
    ],
    "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": []
}

• Kristina Teresita Nicholson, COTA/L
• Asha M Ninan, MS, CCC-SLP
• Alexandra Noel
• Norbert W. Rainford MD, PLLC
• Marie Norceide
• Grace Novak
• Beth Novick
• Emily Novick
• Melissa Novick, MHC
• Deidre Nowak

• Durable Medical Equipment & Medical Supplies in New City, NY
• Providers in New City, 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.