SOUTH NASSAU ORTHOPEDIC SURGERY AND SPORTS MEDICINE, P.C.
NPI 1154332344
Specialist in Valley Stream, NY

Active since August 11, 2006
64 S CENTRAL AVE, VALLEY STREAM, NY 11580(516) 825-1101(516) 568-2840 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Nassau Orthopedic Surgery And Sports Medicine, P.c. NPPES

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

SOUTH NASSAU ORTHOPEDIC SURGERY AND SPORTS MEDICINE, P.C. (NPI 1154332344) is a healthcare organization registered as a specialist in Valley Stream, New York and active in the NPI registry since August 2006. The organization lists Neesha N Mohammed-lopez, Operation Manager, as its authorized official.

NPPES Registry Identity

NPI1154332344
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH NASSAU ORTHOPEDIC SURGERY AND SPORTS MEDICINE, P.C.
Location Address64 S CENTRAL AVEValley Stream, NY 11580-5407
Mailing Address64 S Central AveValley Stream, NY 11580-5407 · (516) 825-1101 · Fax (516) 568-2840
Fax(516) 568-2840
Organization SubpartNo
Authorized OfficialNeesha N Mohammed-lopezOperation Manager · (516) 825-1101
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1154332344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 131901
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

64 S CENTRAL AVE, Valley Stream, NY 11580

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Orthopaedic Surgery (Sports Medicine)
64 S CENTRAL AVE
VALLEY STREAM, NY 11580
Physician Assistant (Surgical)
64 S CENTRAL AVE
VALLEY STREAM, NY 11580
Orthopaedic Surgery
64 S CENTRAL AVE
VALLEY STREAM, NY 11580

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 South Nassau Orthopedic Surgery And Sports Medicine, P.C.'s NPI number?

The NPI number for South Nassau Orthopedic Surgery And Sports Medicine, P.C. is 1154332344. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is South Nassau Orthopedic Surgery And Sports Medicine, P.C. located?

South Nassau Orthopedic Surgery And Sports Medicine, P.C. is located at 64 S Central Ave, Valley Stream, NY 11580. The listed phone number is (516) 825-1101.

What is South Nassau Orthopedic Surgery And Sports Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Nassau Orthopedic Surgery And Sports Medicine, P.C. was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.