SPORTS MEDICINE SPECIALIST P.C. (NPI# 1023638012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023638012 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE SPECIALIST P.C. |
| Practice Address |
1578 Williamsbridge Rd # 3d Bronx NY 10461-6265 |
| Mailing Address |
3235 83rd St East Elmhurst NY 11370-2007 |
| Practice Telephone | 3474186618 |
| Mailing Telephone | 3474186618 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | DR. ROMULO VASQUEZ (CEO) |
| Authorized Official Telephone | 3474186618 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SPORTS MEDICINE SPECIALIST P.C. | 32-35 83rd Street, East Elmhurst, New York 11370 |
| Street Address |
1578 WILLIAMSBRIDGE RD # 3D |
| City | BRONX |
| State | NY |
| Zip Code | 10461-6265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124081815 | Cmors Group LLC | Family Medicine | 3235 Grand Concourse, Suite-basement, Bronx, NY 10468-1138 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588104855 | Winston Medical PC | Family Medicine | 10814 72nd Ave Ste 4, Forest Hills, NY 11375-5301 | 2017-03-06 |
| 1649680240 | Makoto Michael Yoshino | Family Medicine | 22 W 21st St Ste 400, New York, NY 10010 | 2014-05-05 |
| 1215378369 | Elan Luria Goldwaser | Family Medicine | 1 Pondfield Road, 1st Floor, Bronxville, NY 10708 | 2013-07-17 |
| 1134431554 | Joseph Weber-lopez | Family Medicine | 158 E Main St Ste 3, Huntington, NY 11743-2988 | 2010-07-14 |
| 1881857159 | James Nathan Robinson | Family Medicine | 148-168 39th St, Floor 7, Brooklyn, NY 11232 | 2008-07-08 |
| 1639332422 | Marlon Stephen Mathews | Family Medicine | 184 Losson Road, Cheektowaga, NY 14227 | 2008-07-02 |
| 1598954158 | Anthony Cappellino Md PC | Family Medicine | 60 Fleets Point Dr, Suite 1, West Babylon, NY 11704-8314 | 2007-10-19 |
| 1356565790 | Christine Anne Blonski | Family Medicine | 2619 Culver Rd Ste 2a, Rochester, NY 14609-1738 | 2007-04-13 |
| 1265505036 | Si Medical Practice Associate PC | Family Medicine | 1147 Richmond Road, Staten Island, NY 10304 | 2006-11-17 |
| 1689769366 | Steven Andre Radi | Family Medicine | 1 College Cir, Geneseo, NY 14454-1401 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
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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.