FORDAM UNIVERSITY (NPI# 1225532609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225532609 |
| Entity Type | Organization |
| Organization Name | FORDAM UNIVERSITY |
| Other Organization Name | FORDHAM SPORTS MEDICINE |
| Practice Address |
441 E Fordham Rd Bronx NY 10458-5149 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fordham Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992000640 | Fordam University | Clinic/Center | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2011-01-11 |
| Street Address |
441 E FORDHAM RD |
| City | BRONX |
| State | NY |
| Zip Code | 10458-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568492668 | Sylvia Colon Cabassa | Nurse Practitioner | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2006-07-04 |
| 1134777907 | Bridget Ward | Specialist/Technologist | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2019-08-26 |
| 1689180143 | Erin Cameron | Specialist/Technologist | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2017-12-20 |
| 1972019446 | David Zippo | Specialist/Technologist | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2017-12-20 |
| 1265948715 | Duncan Graham | Specialist/Technologist | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2017-12-20 |
| 1700391174 | Justine Rebecca Stevenson | Specialist/Technologist | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2017-12-07 |
| 1336683622 | The Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2016-12-06 |
| 1376990689 | Gretchen Lynn Klinkner | Specialist/Technologist | 441 E Fordham Rd, Bronx, NY 10458-9993 | 2016-05-17 |
| 1043557739 | Jennifer Huang | Nurse Practitioner | 441 E Fordham Rd, O'hare Hall, Bronx, NY 10458-5149 | 2013-01-15 |
| 1073880498 | Colleen A Kennelly | Nurse Practitioner | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2011-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1730731787 | Abreu Child and Parent Services Inc. | Speech-Language Pathologist | 2870 Marion Ave. Apt. 3c, Bronx, NY 10458 | 2019-07-10 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1205308004 | Feben Kurban | Audiologist | 625 East Fordham Road, Bronx, NY 10458 | 2018-12-19 |
| 1306328737 | Lauretta Marie Tomaso | Nurse Practitioner | 500 East Fordham Road, Bronx, NY 10458 | 2018-09-01 |
| 1457831992 | Cinthia Isabel Morales | Counselor | 2488 Grandconcourse Suite 417, Bronx, NY 10458 | 2018-08-15 |
| 1588159156 | Raquel Lamarche | Student in an Organized Health Care Education/Training Program | 2505 Lorillard Pl Apt 1d, Bronx, NY 10458 | 2018-06-26 |
| 1750832929 | Classic Home Care, Inc. | In Home Supportive Care | 2655a Webster Avenue, 2nd Floor, Bronx, NY 10458 | 2016-10-21 |
| 1023565637 | Emily Hemingway | Physical Therapist | 397 E 198th St, Bronx, NY 10458 | 2016-09-01 |
| Find all providers in zip 10458 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336683622 | The Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 441 E Fordham Rd, Bronx, NY 10458-5149 | 2016-12-06 |
| 1184747693 | Deborah M. Allen | Orthopaedic Surgery | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2007-04-09 |
| 1902947450 | Michael David Hossack | Orthopaedic Surgery | 3400 Bainbridge Avenue, 6th Floor, Bronx, NY 10467 | 2007-02-09 |
| 1902996606 | Randall Victor Ehrlich | Orthopaedic Surgery | 625 E Fordham Rd, Bronx, NY 10458-5049 | 2006-10-13 |
| 1174512826 | Sanjiv Bansal Md PC | Orthopaedic Surgery | 2705 Williamsbridge Rd, Bronx, NY 10469-4109 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057347 | Viorika Chebotaru | Orthopaedic Surgery | 626 Sheepshead Bay Rd, Brooklyn, NY 11224-3602 | 2019-11-11 |
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1891258349 | Empire Ny Orthopedics PC | Orthopaedic Surgery | 22215 Northern Blvd Ste Lobbya, Bayside, NY 11361-3678 | 2019-04-11 |
| 1821566688 | Chelsea Rose Weir | Orthopaedic Surgery | 379 Oakwood Rd Ste C, Huntington Station, NY 11746-7203 | 2018-11-08 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1992201222 | Scott Adam Weiss Md PC | Orthopaedic Surgery | 672 Harless Pl, West Hempstead, NY 11552-3504 | 2018-04-04 |
| 1467965095 | Melissa Pei-lih Mau | Orthopaedic Surgery | 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042-1113 | 2017-11-06 |
| 1821476698 | Stephanie M Macdonald | Orthopaedic Surgery | 1672 Empire Blvd Ste 100, Webster, NY 14580-2199 | 2015-05-13 |
| 1710380118 | Stony Brook University | Orthopaedic Surgery | Toll Dr Bldg 39, Stony Brook, NY 11794-0001 | 2014-09-30 |
| 1083029623 | Michael J. Katz Md PC | Orthopaedic Surgery | 14653 Delaware Ave, Flushing, NY 11355-2182 | 2014-06-23 |
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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.