Organization Active NPI

Orthopaedic Excellence of Long Island, PC

  • Specialist
  • Rockville Centre, NY
National Provider Identifier
1992815641
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
158360 Issued in NY
Legal business name
ORTHOPAEDIC EXCELLENCE OF LONG ISLAND, PC
Practice address
2000 N Village Ave
Suite 306
Rockville Centre, NY 11570-1078
Phone
(516) 678-2232
Fax
(516) 678-8405
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Jan A. Koenig, MD
Title
President
Phone
(516) 678-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 158360 NY Primary

Addresses

Primary practice location

2000 N Village Ave
Suite 306
Rockville Centre, NY 11570-1078

Mailing address

2000 N Village Ave
Suite 306
Rockville Centre, NY 11570-1078
Phone (516) 678-2232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1992815641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 306",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-678-2232",
            "fax_number": "516-678-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 306",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-678-2232",
            "fax_number": "516-678-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC EXCELLENCE OF LONG ISLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-678-2232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "158360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.