ORTHOPAEDICS SPINE AND SPORTS MEDICINE, LLC (NPI# 1366977951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366977951 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDICS SPINE AND SPORTS MEDICINE, LLC |
| Other Organization Name | TOTAL ORTHOPAEDICS & SPORTS MEDICINE |
| Practice Address |
2103 Deer Park Ave Deer Park NY 11729-1317 |
| Mailing Address |
5500 Merrick Rd Massapequa NY 11758-6231 |
| Practice Telephone | 5167953033 |
| Practice Fax Number | 5167953036 |
| Mailing Telephone | (516) 795-3033 |
| Mailing Fax Number | 5167953036 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | ROSEANN LEWIS (PRACTICE MANAGER) |
| Authorized Official Telephone | 5167953033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 216303 | NY | Suppliers |
| Other Name | Type Code |
|---|---|
| Total Orthopaedics & Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096590 | Orthopaedics Spine and Sports Medicine, LLC | Durable Medical Equipment & Medical Supplies | 115 Eileen Way, Syosset, NY 11791-5325 | 2018-09-11 |
| 1174050355 | Orthopaedics Spine and Sports Medicine, LLC | Durable Medical Equipment & Medical Supplies | 2201 Hempstead Tpke, Suite 668, East Meadow, NY 11554-1859 | 2017-05-18 |
| Street Address |
2103 DEER PARK AVE |
| City | DEER PARK |
| State | NY |
| Zip Code | 11729-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917301 | Ron Mark | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2005-07-28 |
| 1225666530 | Deer Park Pt, Family Health Np and Chiropractic Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2020-03-31 |
| 1285264192 | Deer Park Medical, P.C. | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2020-01-20 |
| 1235799883 | East Meadow Pt Family Health Np Acupuncture and Chiropractic | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2019-06-17 |
| 1174090146 | Jessica Morales | Massage Therapist | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2018-10-29 |
| 1942726294 | Ruben Hector Saavedra | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-08-18 |
| 1184161465 | Hector Moises Murillo | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-01-25 |
| 1508251612 | Dp Pt & Chiropractic, Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2015-04-06 |
| 1184028201 | Pavilion Radiology PC | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2014-10-17 |
| 1750782256 | Deer Park Physical Therapy & Chiropractic | Specialist | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561513 | Elyse Joy Wright | Specialist | 1014 Grand Boulevard Suite 5, Deer Park, NY 11729 | 2019-08-01 |
| 1568929131 | Corrine E. Hibbert | Case Manager/Care Coordinator | 140 Villa Avenue, Deer Park Ny, NY 11729 | 2019-03-01 |
| 1922525286 | Melissa Ramistella | Behavioral Analyst | 6 Angelica Street, Deer Park, NY 11729 | 2017-08-28 |
| 1609224153 | Corvitals, Inc. | Clinical Medical Laboratory | 590 Nichols Road, Suite 1, Deer Park, NY 11729 | 2016-05-25 |
| 1417375312 | Venel Maitre | Registered Nurse | 54 Duke St, Deer Park, NY 11729 | 2014-03-29 |
| 1578819157 | Koa K Robinson | Registered Nurse | 375 Carlls Place, 329, Deer Park, NY 11729 | 2012-08-01 |
| 1649532409 | Theresa L Lerro | Counselor | 1 Brandyine Drive, Deer Park, NY 11729 | 2012-06-07 |
| 1417218827 | Abilities Unlimited of N.y. | Durable Medical Equipment & Medical Supplies | 90 E. Jefryn Blvd., Deer Park, NY 11729 | 2012-06-01 |
| 1356600811 | Jennifer A. D'auria | Speech-Language Pathologist | 101 Lake Ave., Jfk Intermediate School, Deer Park, NY 11729 | 2012-05-03 |
| 1013280254 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Circle, Deer Park, NY 11729 | 2012-02-20 |
| Find all providers in zip 11729 | ||||
| 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 |
|---|---|---|---|---|
| 1316494727 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 18 Evergreen Pl Unit Aa, Deer Park, NY 11729-3790 | 2016-09-01 |
| 1861891749 | Rockwood Clinic Ps | Durable Medical Equipment & Medical Supplies | 20 E J St, Deer Park, WA 99006-8500 | 2014-08-18 |
| 1962842450 | Comfort Your Sole, Inc | Durable Medical Equipment & Medical Supplies | 546 Commack Rd, Deer Park, NY 11729-3804 | 2013-06-27 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1124208582 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 14 Burt Dr Ste A, Deer Park, NY 11729-5752 | 2007-11-13 |
| 1043342637 | Babylon Surg Supply Inc | Durable Medical Equipment & Medical Supplies | 1751 Deer Park Ave, Deer Park, NY 11729-5206 | 2007-03-10 |
| 1760561468 | Crosley Medical Products Inc | Durable Medical Equipment & Medical Supplies | 60 S 2nd St, Ste E, Deer Park, NY 11729-4717 | 2006-11-03 |
| 1699850073 | East Coast Orthotic & Prosthetic Corp. | Durable Medical Equipment & Medical Supplies | 75 Burt Dr, Deer Park, NY 11729-5701 | 2006-10-26 |
| 1073611604 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1944 Deer Park Ave, Deer Park, NY 11729-3327 | 2006-09-20 |
| 1235144239 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4090 E Galbraith Rd, Deer Park, OH 45236-2324 | 2006-07-29 |
| Find all providers in DEER PARK | ||||
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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.