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STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE P.C NPI 1679698310


NPI Information

NPI: 1679698310
Provider Name: STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE P.C

Former Legal Business Name: STATEN ISLAND ORTHOPEDICS AND SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2052 RICHMOND ROAD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 351-6500
Get Directions

STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE P.C is an orthopaedic surgery in Staten Island, NY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. STATEN ISLAND ORTHOPEDICS & SPORTS MEDICINE P.C NPI is 1679698310. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Staten Island Orthopedics And Sports Medicine.

The provider's business location address is:

2052 RICHMOND ROAD
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 351-6500
Fax: (718) 351-7672

The provider's authorized official is Mark F Sherman .
The authorized official title is President and has the following contact phone number (718) 351-6500.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 10/13/2015.


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
1208100000XPhysical Medicine & RehabilitationNEW YORKNo
2207X00000XOrthopaedic SurgeryNEW 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
1WEG671MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 11/14/2023

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