ORTHOPAEDIC SURGICAL CONSULTANT PC NPI 1083777825

NPI Information

NPI: 1083777825
Provider Name: ORTHOPAEDIC SURGICAL CONSULTANT PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9921 4TH AVE
BROOKLYN, NY
ZIP 11209
Phone: (718) 238-5565
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ORTHOPAEDIC SURGICAL CONSULTANT PC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORTHOPAEDIC SURGICAL CONSULTANT PC NPI is 1083777825. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9921 4TH AVE
BROOKLYN, NY
ZIP 11209-347
Phone: (718) 238-5565
Fax: (718) 748-3526

The provider's authorized official is Marie Goetz .
The authorized official title is Office Manager and has the following contact phone number (718) 556-4700.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 10/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		149171	NEW YORK	No
2	174400000X	Specialist		186226	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P475372	OTHER	NEW YORK	OXFORD
2	186226	OTHER	NEW YORK	HIP
3	1C2731	OTHER	NEW YORK	PHS
4	P475372	OTHER	NEW YORK	OXFORD INSURANCE
5	0060015	OTHER	NEW YORK	GHI
6	JL073G5810	OTHER	NEW YORK	EMPIRE BLUE CROSS
7	00889818	MEDICAID	NEW YORK
8	0119170	OTHER	NEW YORK	AETNA
9	149171	OTHER	NEW YORK	HIP
10	5710697012	OTHER	NEW YORK	CIGNA
11	G42794	MEDICARE UPIN	NEW YORK
12	149171COS	OTHER	NEW YORK	WORKERS COMP
13	186226COS	OTHER	NEW YORK	WORKERS COMP
14	2C2126	OTHER	NEW YORK	PHS
15	73G581	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
16	NS2413	OTHER	NEW YORK	OXFORD
17	C09800	MEDICARE UPIN	NEW YORK
18	43D861	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
19	0814039	MEDICAID	NEW YORK
20	RV043D8610	OTHER	NEW YORK	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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