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DEROSA ORTHOPEDIC SERVICES PC NPI 1245439215


NPI Information

NPI: 1245439215
Provider Name: DEROSA ORTHOPEDIC SERVICES, PC
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
4701 QUEENS BLVD
SUNNYSIDE, NY
ZIP 11104
Phone: (718) 784-4747
Get Directions

DEROSA ORTHOPEDIC SERVICES, PC is a sports medicine orthopaedic surgery in Sunnyside, NY. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. DEROSA ORTHOPEDIC SERVICES, PC NPI is 1245439215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4701 QUEENS BLVD
SUNNYSIDE, NY
ZIP 11104-600
Phone: (718) 784-4747

The provider's authorized official is Patrick Derosa .
The authorized official title is Doctor/owner and has the following contact phone number (718) 204-0414.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 12/27/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine129321NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100402355MEDICAIDNEW YORK
2315273MEDICARE PINNEW YORK
3315271MEDICARE PINNEW YORK
4315272MEDICARE PINNEW YORK

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

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