Healthcare Provider Details

I. General information

NPI: 1801589296
Provider Name (Legal Business Name): HESS ORTHOPEDICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL STE 903
BRONX NY
10461-2733
US

IV. Provider business mailing address

PO BOX 773574
CORAL SPRINGS FL
33077-3574
US

V. Phone/Fax

Practice location:
  • Phone: 954-688-6884
  • Fax: 954-656-5206
Mailing address:
  • Phone: 954-688-6884
  • Fax: 954-656-5206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL HESS
Title or Position: OWNER
Credential: MD
Phone: 561-706-2288