TOTAL ORTHOPAEDICS AND SPORTS MEDICINE
NPI 1073096590
Durable Medical Equipment & Medical Supplies in Syosset, NY

Active since September 11, 2018CLIA 33D2117589 · Waiver
115 EILEEN WAY, SYOSSET, NY 11791(516) 795-3033 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 8, 2019, Sep 11, 2018 (2 updates tracked since 2018).

About Total Orthopaedics And Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TOTAL ORTHOPAEDICS AND SPORTS MEDICINE (NPI 1073096590) is a healthcare organization registered as a durable medical equipment & medical supplies in Syosset, New York and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Roseann Lewis, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1073096590
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameORTHOPAEDICS SPINE AND SPORTS MEDICINE, LLC
Location Address115 EILEEN WAYSyosset, NY 11791-5325
Mailing Address5500 Merrick RdMassapequa, NY 11758-6231 · (516) 795-3033 · Fax (516) 795-3036
Organization SubpartNo
Authorized OfficialRoseann LewisPractice Administrator · (855) 321-6784
Enumeration DateSeptember 11, 2018
Last NPPES UpdateFebruary 8, 20192 updates tracked since enumeration
✔ NPI 1073096590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
115 EILEEN WAY, Syosset, NY 11791

Other Names 1

Doing Business AsTotal Orthopaedics And Sports Medicine

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2117589

Orthopaedics Spine And Sports Medicine LLC · Deer Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2117589
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Charles Ruotolo
Laboratory Phone(855) 321-6784
Laboratory LocationOrthopaedics Spine And Sports Medicine LLC2103 Deer Park Ave, Deer Park, NY 11729
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
115 EILEEN WAY
SYOSSET, NY 11791
Specialist/Technologist (Athletic Trainer)
115 EILEEN WAY
SYOSSET, NY 11791
Orthopaedic Surgery
115 EILEEN WAY
SYOSSET, NY 11791
Physician Assistant
115 EILEEN WAY
SYOSSET, NY 11791
Chiropractor
115 EILEEN WAY, SUITE 107
SYOSSET, NY 11791
Physical Therapist
115 EILEEN WAY
SYOSSET, NY 11791
Orthopaedic Surgery
115 EILEEN WAY
SYOSSET, NY 11791
Orthopaedic Surgery
115 EILEEN WAY
SYOSSET, NY 11791

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthopaedics Spine And Sports Medicine, LLC's NPI number?

The NPI number for Orthopaedics Spine And Sports Medicine, LLC is 1073096590. It was assigned to this organization in the NPPES registry on September 11, 2018. The provider is doing business as Total Orthopaedics And Sports Medicine.

Where is Orthopaedics Spine And Sports Medicine, LLC located?

Orthopaedics Spine And Sports Medicine, LLC is located at 115 Eileen Way, Syosset, NY 11791. The listed phone number is (516) 795-3033.

What is Orthopaedics Spine And Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Orthopaedics Spine And Sports Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2117589) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Orthopaedics Spine And Sports Medicine, LLC was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.