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

Sports Medicine Specialist PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1023638012

Sports Medicine Specialist PC is a Sports Medicine (Family Medicine) Physician 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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