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

Sports Medicine Specialist PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1023638012

Sports Medicine Specialist PC provides Sports Medicine (Family Medicine) Physician services in Bronx, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1578 Williamsbridge Rd # 3D
Bronx, NY 10461-6265
Phone: (347) 418-6618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1023638012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Romulo Vasquez — Ceo · (347) 418-6618
NPI enumeratedApril 20, 2020
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address3235 83rd St, East Elmhurst, NY 11370-2007

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