BROOKLYN SPINE AND SPORTS MEDICINE P.C. (NPI# 1184147449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184147449 |
| Entity Type | Organization |
| Organization Name | BROOKLYN SPINE AND SPORTS MEDICINE P.C. |
| Practice Address |
415 Grand New York Street Apt E1707 New York NY 10002 |
| Practice Telephone | 4432555130 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | JUSTIN MENDOZA (DO) |
| Authorized Official Telephone | 4432555130 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA NUMBER | FM3317256 | 01 |
| Street Address |
415 GRAND NEW YORK STREET APT E1707 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776507 | Betances Health Center | Dietitian, Registered | 280 Henry Street, New York, NY 10002 | 2020-07-06 |
| 1558996041 | John X Wang Acupuncture PC | Acupuncturist | 27 East Broadway, 6fl, New York, NY 10002 | 2020-03-05 |
| 1962044776 | Min Lin | Student in an Organized Health Care Education/Training Program | 44-46 Market St Apt 6a, New York, NY 10002 | 2019-10-14 |
| 1184274540 | Brittany Irby | Community Health Worker | 189 Eldridge Street, New York, NY 10002 | 2019-09-18 |
| 1528558616 | Center for All Abilities, Inc. | Music Therapist | 136 Henry Street, New York, NY 10002 | 2018-05-14 |
| 1811490501 | Haishuang Huang | Health Educator | 87 Bowery, Fl 1, New York, NY 10002 | 2018-03-09 |
| 1174031546 | Vanessa Lisa Cruz | Specialist | 211 Eldridge Street, 3d, New York, NY 10002 | 2018-01-18 |
| 1295243889 | Robert Shum | Peer Specialist | 275 Cherry Street Apt.7a, New York, NY 10002 | 2018-01-17 |
| 1548780893 | Sana Khan | Student in an Organized Health Care Education/Training Program | 90 Rivington St, New York, NY 10002 | 2017-06-27 |
| 1346779980 | Jannelly Nieves | Early Intervention Provider Agency | 87 Columbia Street Apt 14f, New York, NY 10002 | 2017-06-07 |
| Find all providers in zip 10002 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593336 | Andrew Stephen Ward | Physical Medicine & Rehabilitation | 295 Madison Ave Rm 1026, New York, NY 10017-7725 | 2019-11-26 |
| 1215341748 | Emily Nell Fatakhov | Physical Medicine & Rehabilitation | 3 E 101st St Lbby 1, New York, NY 10029-6528 | 2014-06-12 |
| 1558594929 | Faruk Razzak | Physical Medicine & Rehabilitation | 150 E 58th St Fl 14, New York, NY 10155-0002 | 2009-09-01 |
| 1285758029 | Jason Moss Fritzhand | Physical Medicine & Rehabilitation | 1776 Broadway Fl 5, New York, NY 10019-2002 | 2007-03-19 |
| 1265540348 | Nadya G Swedan | Physical Medicine & Rehabilitation | 1065 Park Ave, Second Floor, New York, NY 10128-1001 | 2006-08-28 |
| 1154310316 | Neal Adam Mesnick | Physical Medicine & Rehabilitation | 5 W 16th St, New York, NY 10011-6307 | 2005-10-19 |
| 1912909490 | Todd R Schlifstein | Physical Medicine & Rehabilitation | 201 E 69th St, Suite 2c, New York, NY 10021-5471 | 2005-08-13 |
| 1003818584 | Gerard P Varlotta | Physical Medicine & Rehabilitation | 20 E 46th St Rm 304, New York, NY 10017-9286 | 2005-08-13 |
| 1609877703 | Jeffrey M Gross | Physical Medicine & Rehabilitation | 32 Union Sq E, 7th Floor, New York, NY 10003-3209 | 2005-08-10 |
| 1992339212 | Donald Jay Zerio | Physical Medicine & Rehabilitation | 57 W 57th St Fl 15, New York, NY 10019-2832 | 2020-02-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.