FORDHAM SPORTS MEDICINE
NPI 1225532609
Orthopaedic Surgery - Sports Medicine in Bronx, NY

Q: What is Fordam University's NPI number?

The NPI number for Fordam University is 1225532609. It was assigned to this organization in the NPPES registry on March 21, 2018. The provider is doing business as Fordham Sports Medicine.

Q: What is Fordam University's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fordam University was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 21, 2018CLIA 33D2146341 · Waiver

441 E FORDHAM RD, BRONX, NY 10458(972) 367-4845 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Mar 21, 2018 (2 updates tracked since 2018).

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About Fordham Sports Medicine NPPES

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

FORDHAM SPORTS MEDICINE (NPI 1225532609) is a healthcare organization registered as a sports medicine in Bronx, New York and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mouzon Bass, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225532609

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameFORDAM UNIVERSITY

Location Address441 E FORDHAM RDBronx, NY 10458-5149

Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845

Phone(972) 367-4845

Organization SubpartNo

Authorized OfficialMouzon BassAdministrator · (972) 367-4845

Enumeration DateMarch 21, 2018

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1225532609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

441 E FORDHAM RD, Bronx, NY 10458

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Other Names 1

Doing Business AsFordham Sports Medicine

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

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 33D2146341

Forham University Ems · Bronx, NY

Active · expires Mar 26, 2027

CLIA Number33D2146341

Laboratory TypeAmbulance

Certificate Effective DateMarch 28, 2018

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Daniel Murphy

Laboratory Phone(718) 817-1413

Laboratory LocationForham University Ems441 E Fordham Rd, Bronx, NY 10458

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

MRS. JENNIFER HUANG NP

Nurse Practitioner (Adult Health)

441 E FORDHAM RD, O'HARE HALL
BRONX, NY 10458

Bronx County (718) 817-4160

COLLEEN A KENNELLY N.P.

Nurse Practitioner (Family)