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SPORTS & ORTHOPEDIC SURGERY OF NEW YORK, PLLC
NPI 1871790071
Specialist in New York, NY

Active since June 29, 2007
205 E 16TH ST, SUITE M1B, NEW YORK, NY 10003(212) 254-0946(212) 254-0956 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sports & Orthopedic Surgery Of New York, Pllc NPPES

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

SPORTS & ORTHOPEDIC SURGERY OF NEW YORK, PLLC (NPI 1871790071) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since June 2007. The organization lists Ivan J Fernandez-madrid, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1871790071
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPORTS & ORTHOPEDIC SURGERY OF NEW YORK, PLLC
Location Address205 E 16TH ST, SUITE M1BNew York, NY 10003-3746
Mailing AddressPo Box 6402Ithaca, NY 14851-6402 · (212) 254-0946 · Fax (212) 254-0956
Phone(212) 254-0946
Fax(212) 254-0956
Organization SubpartNo
Authorized OfficialIvan J Fernandez-madridSole Proprietor · (212) 254-0946
Enumeration DateJune 29, 2007
Last NPPES UpdateMarch 7, 2011
✔ NPI 1871790071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 217407
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.
205 E 16TH ST, New York, NY 10003
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Other Identifiers 2

Medicare UPINH34192NY
Medicare PINWZT3V1NY

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 7

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

DR. SUSAN MARIAN CARROLL PSY.D.
Psychologist
205 E 16TH ST, SUITE M1A
NEW YORK, NY 10003
New York County (917) 238-4814
DR. CHARLES AMRHEIN PSYD
Psychologist (Clinical)
205 E 16TH ST, 2C
NEW YORK, NY 10003
New York County (917) 673-6538
AMANDA WAHLSTEDT
Dietitian, Registered
205 E 16TH ST
NEW YORK, NY 10003
New York County (917) 370-3538
16TH STREET ACUPUNCTURE PLLC
Acupuncturist
205 E 16TH ST, M2A
NEW YORK, NY 10003
New York County (646) 221-6535
MS. FRANCES MELDRIM BOSWELL L.AC
Acupuncturist
205 E 16TH ST
NEW YORK, NY 10003
New York County (917) 697-9007
MS. SAMANTHA YURKOSKY LAC
Acupuncturist
205 E 16TH ST, M2A
NEW YORK, NY 10003
New York County (646) 221-6535
GRAMERCY PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
205 E 16TH ST, SUITE M1A
NEW YORK, NY 10003
New York County (212) 696-7494

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 Sports & Orthopedic Surgery Of New York, PLLC's NPI number?

The NPI number for Sports & Orthopedic Surgery Of New York, PLLC is 1871790071. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Sports & Orthopedic Surgery Of New York, PLLC located?

Sports & Orthopedic Surgery Of New York, PLLC is located at 205 E 16th St Suite M1b, New York, NY 10003. The listed phone number is (212) 254-0946.

What is Sports & Orthopedic Surgery Of New York, PLLC'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 Sports & Orthopedic Surgery Of New York, PLLC was last updated on March 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.