Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fordam University

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1225532609

Fordam University provides Sports Medicine (Orthopaedic Surgery) Physician services in Bronx, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

441 E Fordham Rd
Bronx, NY 10458-5149
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1225532609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator · (972) 367-4845
Other names Fordham Sports Medicine; Fordham Sports Medicine
NPI enumeratedMarch 21, 2018
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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