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

Jnr Sports Medicine PC

Organization Orthopaedic Surgery Physician · NPI 1366687642

Jnr Sports Medicine PC is an Orthopaedic Surgery Physician in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

1095 Park Ave
New York, NY 10128-1154
Phone: (212) 427-7750
Fax: (212) 427-7759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 147983 (NY)

Record details

NPI number1366687642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Rose — Sole Proprietor · (212) 427-7750
NPI enumeratedDecember 15, 2008
Last updated in NPPESDecember 6, 2010
Mailing address1095 Park Ave, New York, NY 10128-1154

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