Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sports & Orthopedic Surgery of New York, PLLC

Organization Specialist · NPI 1871790071

Sports & Orthopedic Surgery of New York, PLLC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 E 16th St Ste M1B
New York, NY 10003-3746 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 254-0946
Fax: (212) 254-0956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 217407 (NY)

Record details

NPI number1871790071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Fernandez-Madrid — Sole Proprietor · (212) 254-0946
NPI enumeratedJune 29, 2007
Last updated in NPPESMarch 7, 2011
Mailing addressPo Box 6402, Ithaca, NY 14851-6402

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