1717 Medical PC
NPI 1467134684 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Islandia, NY
1717 Medical PC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician organization in Islandia, NY (NPI 1467134684).
Provider details
- NPI number
- 1467134684
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jordan Sudberg, Owner(631) 482-2754
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Frequently asked questions
- What is 1717 Medical PC's NPI number?
- 1717 Medical PC's National Provider Identifier (NPI) is 1467134684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1717 Medical PC?
- 1717 Medical PC is classified in the NPPES registry as Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is 1717 Medical PC located?
- 1717 Medical PC's practice location on file with NPPES is 1717 Veterans Memorial Hwy Ste 1, Islandia, NY 11749-1532.
- What is 1717 Medical PC's phone number?
- The practice phone number listed in the NPPES registry for 1717 Medical PC is (631) 203-4300.
- Who is the authorized official for 1717 Medical PC?
- The authorized official listed on 1717 Medical PC's NPPES record is Jordan Sudberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1717 Medical PC's NPI active?
- Yes — 1717 Medical PC's NPI (1467134684) is active in the NPPES registry as of the last update on 2023-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.