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NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
NPI 1073937579
Orthopaedic Surgery - Sports Medicine in Nanuet, NY

Active since February 05, 2014
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954(845) 262-5313(845) 262-5330 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeast Orthopedics And Sports Medicine Pllc NPPES

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

NORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC (NPI 1073937579) is a healthcare organization registered as a sports medicine in Nanuet, New York and active in the NPI registry since February 2014. The organization lists Jordan A Simon, Mbr, as its authorized official.

NPPES Registry Identity

NPI1073937579
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameNORTHEAST ORTHOPEDICS AND SPORTS MEDICINE PLLC
Location Address507 AIRPORT EXECUTIVE PARKNanuet, NY 10954-5238
Mailing Address507 Airport Executive ParkNanuet, NY 10954-5238 · (845) 262-5313 · Fax (845) 262-5330
Phone(845) 262-5313
Fax(845) 262-5330
Organization SubpartNo
Authorized OfficialJordan A SimonMbr · (845) 262-5313
Enumeration DateFebruary 5, 2014
Last NPPES UpdateDecember 16, 2016
✔ NPI 1073937579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
507 AIRPORT EXECUTIVE PARK, Nanuet, NY 10954
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MARK MEDICI M.D.
Orthopaedic Surgery
507 AIRPORT EXECUTIVE PARK
NANUET, NY 10954
Rockland County (845) 262-5313

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 Northeast Orthopedics And Sports Medicine PLLC's NPI number?

The NPI number for Northeast Orthopedics And Sports Medicine PLLC is 1073937579. It was assigned to this organization in the NPPES registry on February 5, 2014.

Where is Northeast Orthopedics And Sports Medicine PLLC located?

Northeast Orthopedics And Sports Medicine PLLC is located at 507 Airport Executive Park, Nanuet, NY 10954. The listed phone number is (845) 262-5313.

What is Northeast Orthopedics And Sports Medicine PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Northeast Orthopedics And Sports Medicine PLLC was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.