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 is a Sports Medicine (Orthopaedic Surgery) Physician 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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