NORTHEAST ORTHOPEDICS & SPORTS MEDICINE PLLC (NPI# 1871902544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871902544 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORTHOPEDICS & SPORTS MEDICINE PLLC |
| Other Organization Name | NEOSM |
| Practice Address |
99 Dutch Hill Rd Orangeburg NY 10962-2185 |
| Practice Telephone | 8453591877 |
| Practice Fax Number | 8452625313 |
| Mailing Telephone | 8453591877 |
| Mailing Fax Number | 8452625313 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | DR. JORDON A SIMON (MD/OWNER) |
| Authorized Official Telephone | 8453591877 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NEOSM | Other Name - Individual/Organization |
| 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 |
| 1730504598 | Northeast Orthopedics and Sports Medicine Pllc | Durable Medical Equipment & Medical Supplies | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2014-03-03 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 10962 |
Please comment or provide details below to improve the information on NORTHEAST ORTHOPEDICS & 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.