ACTIVE SPORTS MEDICINE & ORTHOPAEDIC SURGERY PC (NPI# 1477579332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477579332 |
Entity Type | Organization |
Organization Name | ACTIVE SPORTS MEDICINE & ORTHOPAEDIC SURGERY PC |
Other Organization Name | ACTIVE ORTHOPAEDICS |
Practice Address |
757 Lincoln Blvd Long Beach NY 11561-2355 |
Practice Telephone | 5164328800 |
Practice Fax Number | 5164328801 |
Mailing Telephone | 5164328800 |
Mailing Fax Number | 5164328801 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2013-02-28 |
Authorized Official Name | BENJAMIN S UH (OFFICER) |
Authorized Official Telephone | 5164328800 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 201193 | NY | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Active Orthopaedics | Doing Business As Name - Organization |
Street Address |
757 LINCOLN BLVD |
City | LONG BEACH |
State | NY |
Zip Code | 11561-2355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871690578 | Benjamin S Uh | Orthopaedic Surgery | 757 Lincoln Blvd, Long Beach, NY 11561-2355 | 2006-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
Find all providers in zip 11561 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
1417257296 | Allied Medical Group, Inc. | Orthopaedic Surgery | 4237 Atlantic Ave, Long Beach, CA 90807 | 2010-10-27 |
1851512677 | Stephen P. Graham, M.d., Inc. | Orthopaedic Surgery | 1760 Termino Ave., Suite G-21, Long Beach, CA 90804 | 2007-05-01 |
1972625382 | Manuel S Anel | Orthopaedic Surgery | 3711 Long Beach Blvd Ste 806, Long Beach, CA 90807-3324 | 2007-04-04 |
1427086321 | Alexander Thomas Latteri | Orthopaedic Surgery | 3939 Atlantic Avenue, Suite #204, Long Beach, CA 90807-3535 | 2006-06-29 |
1528032562 | Alex H. Etemad | Orthopaedic Surgery | 5584 N Paramount Blvd, Suite 100, Long Beach, CA 90805-5133 | 2006-02-15 |
1114927860 | Long Beach Advanced Orthopedic Medical Center Inc | Orthopaedic Surgery | 1760 Termino Ave, 208, Long Beach, CA 90804-2105 | 2005-07-22 |
1003811811 | Jay W Eneman | Orthopaedic Surgery | 780 Long Beach Blvd, Long Beach, NY 11561-2238 | 2005-06-17 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 11561 |
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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.