Provider profile · NPI 1811062656

Active Orthopaedics & Sports Medicine, Pllc

Orthopaedic Surgery · Farmingdale, NY · NPI 1811062656 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Orthopaedic Surgery

Enumerated

Nov 21, 2006

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING340 BROADHOLLOW RD Farmingdale, NY 11735-4807631-694-0000
LOCATION340 BROADHOLLOW RD Farmingdale, NY 11735-4807631-694-0000

View on NPPES registry ↗

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