Unknown Individual – Sports Medicine (Internal Medicine) Physician, NPI 1720119027
Sports Medicine (Internal Medicine) Physician
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NPPES metrics only — not quality of care.
18,056 INTERNAL MEDICINE in NY
Provider Addresses for Unknown Individual
610 W 58TH ST FL 3
NEW YORK, NY 100191005
Phone: (410) 583-2990
Type: Location
PO BOX 64664
BALTIMORE, MD 212644664
Phone: (410) 847-3735
Type: Mailing
4924 CAMPBELL BLVD
BALTIMORE, MD 212365908
Phone: (410) 583-2990
Type: Location
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 173 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 118 | 118 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 114 | 96 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 102 | 59 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 85 | 15 | $0 |
Insurance plans in this area (ZIP 10019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Sports Medicine | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Family Practice, Sports Medicine | WA | |
| - | NY | |
| Physician Assistant | NY | |
| Family Practice | NY | |
| Sports Medicine, Pediatric Medicine | NY |
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