Organization Active NPI

Sports Medicine at Chelsea

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1962877472
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
019337 Issued in NY
Legal business name
SPORTS MEDICINE AT CHELSEA
Practice address
22 W 21St St Ste 400
New York, NY 10010-6946
Phone
(212) 366-5100
Fax
(212) 366-6275
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Aran Degenhardt, M.D.NPI 1649260001
Title
Medical Director
Phone
(212) 366-5100

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 Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 019337 NY Primary

Addresses

Primary practice location

22 W 21St St Ste 400
New York, NY 10010-6946

Mailing address

22 W 21St St Ste 400
New York, NY 10010-6946
Phone (212) 366-5100

National Provider Directory

National Provider Directory

Locations

22 W 21st St
Ste 400
New York, NY 10010
Phone (212) 366-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16784/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1962877472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 21ST ST STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106946",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 21ST ST STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106946",
            "telephone_number": "212-366-5100",
            "fax_number": "212-366-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE AT CHELSEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "DEGENHARDT",
        "authorized_official_first_name": "ARAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-366-5100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019337",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 9, 2015; 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.