1717 MEDICAL PC – NPI #1467134684
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

1717 MEDICAL PC is a provider located in ISLANDIA, NY. NPPES has assigned the NPI number 1467134684 to 1717 MEDICAL PC on August 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1717 MEDICAL PC below.

NPI Profile for
1717 MEDICAL PC

NPI Number
1467134684
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1717 MEDICAL PC
Primary location
1717 VETERANS MEMORIAL HWY STE 1
ISLANDIA, NY 11749-1532
Phone: (631) 203-4300 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JORDAN SUDBERG
OWNER
Phone: (631) 482-2754
Updated
Certification Date
Aug 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.