NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC (NPI# 1730504598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730504598 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC |
| Practice Address |
99 Dutch Hill Rd Orangeburg NY 10962-2185 |
| Practice Telephone | 8453591877 |
| Practice Fax Number | 8453592499 |
| Mailing Telephone | 8453591877 |
| Mailing Fax Number | 8453592499 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | JORDAN A SIMON (OWNER) |
| Authorized Official Telephone | 8453591877 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659797017 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 408 Airport Executive Park, Nanuet, NY 10954-5288 | 2014-03-10 |
| 1891110656 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 350 S Main St, New City, NY 10956-3049 | 2014-03-03 |
| 1306261177 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 327 Route 59, Airmont, NY 10952-3420 | 2014-03-03 |
| 1760807531 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 785 State Route 17m, Monroe, NY 10950-2623 | 2014-03-03 |
| 1295150068 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 25 Liberty Square Mall, Stony Point, NY 10980-2400 | 2014-03-03 |
| 1134544992 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 160 N State Rd, Briarcliff Manor, NY 10510-1403 | 2014-03-03 |
| 1255756011 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 128 Ashford Ave, Dobbs Ferry, NY 10522-1924 | 2014-03-03 |
| 1538584396 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 575 Hudson Valley Ave, New Windsor, NY 12553-4747 | 2014-03-03 |
| 1720403587 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 8 Medical Park Dr, Pomona, NY 10970-3516 | 2014-03-03 |
| 1740605500 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 2 Crosfield Ave, Suite 422, West Nyack, NY 10994-2226 | 2014-03-03 |
| Street Address |
99 DUTCH HILL RD |
| City | ORANGEBURG |
| State | NY |
| Zip Code | 10962-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585333 | Leopold Paul Brief | Orthopaedic Surgery | 99 Dutch Hill Rd, Orangeburg, NY 10962-2106 | 2005-08-12 |
| 1285249029 | Laura Murphy Smith | Physical Therapist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2020-09-09 |
| 1326506544 | Prohealth Care Associates, LLP | Occupational Therapist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2019-03-06 |
| 1356822233 | Laurence Joseph Piretra IIi | Physical Therapist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2018-08-28 |
| 1487135745 | Shannon Carey | Physical Therapist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2018-08-24 |
| 1457801037 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2016-10-07 |
| 1487019154 | Robert Silva | Physician Assistant | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2015-12-23 |
| 1710362561 | Eiman Atia | Optometrist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2015-07-22 |
| 1083094635 | Ivan Tseng | Optometrist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2015-06-08 |
| 1871902544 | Northeast Orthopedics & Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730298 | Bv Lake Tappan Operator LLC | Alzheimer Center (Dementia Center) | 31 Hunt Road, Orangeburg, NY 10962 | 2018-05-16 |
| 1659681369 | Vanessa Jean Mckay | Acupuncturist | 516 Route 303 Suite #3, Orangeburg, NY 10962 | 2010-10-15 |
| 1144535766 | Theodora Andreopoulos | Pharmacist | 1 Orangeburg Road, Orangeburg, NY 10962 | 2010-08-09 |
| 1083925598 | Scott David Cicero | Psychologist | 2 First Ave., Orangeburg, NY 10962 | 2010-06-30 |
| 1003135849 | Kerry Deanna Davis | Social Worker | 140 Old Orangeburg Rd, Building #1, Orangeburg Bilingual Clinic-english/asl, Rockland Psych, Orangeburg, NY 10962 | 2010-05-19 |
| 1730407271 | Anthony Zuccaro | Social Worker | 140 Old Orangeburg Road, Rockland Psychiatric Center, Orangeburg, NY 10962 | 2010-05-07 |
| 1750511960 | Eileen Elizabeth Buckley | Nurse Practitioner | 32 Fairview Lane, Orangeburg, NY 10962 | 2009-07-22 |
| 1528296464 | Lisa Kubie | Nurse Practitioner | 140 Old Orangeburg Rd., Building 57 Fourth Floor, Orangeburg, NY 10962 | 2009-06-30 |
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1386787786 | Ralph A Nixon | Psychiatry & Neurology | Nathan Kline Institute, Orangeburg, NY 10962 | 2007-02-15 |
| Find all providers in zip 10962 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245840545 | Phrygreen Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 60 Dutch Hill Rd # Gl-2, Orangeburg, NY 10962-1723 | 2020-08-03 |
| 1467849059 | Smoky Ridge Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1195 Saint Matthews Rd, Num 211, Orangeburg, SC 29115-3417 | 2015-04-21 |
| 1477957397 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 332 Stonewall Jackson Blvd, Orangeburg, SC 29115-7291 | 2014-10-21 |
| 1750713038 | The Regional Medical Center of Orangeburg and Calhoun Counties | Durable Medical Equipment & Medical Supplies | 1175 Cook Rd Ste 145, Orangeburg, SC 29118-8235 | 2013-08-08 |
| 1073863031 | Reyland Medical, LLC | Durable Medical Equipment & Medical Supplies | 110 Rodriguez Rd, Orangeburg, SC 29118-2548 | 2012-09-17 |
| 1043534787 | Peacock Medical Equipment & Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1499 John C Calhoun Dr, Orangeburg, SC 29115-7280 | 2010-03-24 |
| 1861646671 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1262 Ridgewood Drive, Orangeburg, SC 29118 | 2008-11-06 |
| 1053599530 | Jim M Johnson Jr. | Durable Medical Equipment & Medical Supplies | 1464 Carolina Avenue, Orangeburg, SC 29115-1464 | 2008-02-06 |
| 1568594661 | Advantage Health and Wellness | Durable Medical Equipment & Medical Supplies | 242 Whittaker Pkwy, Orangeburg, SC 29115-5664 | 2007-03-12 |
| 1679645303 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1707 Village Park Dr, Orangeburg, SC 29118-2401 | 2006-11-15 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
Please comment or provide details below to improve the information on NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC.
| 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.