# HIGHLINE ORTHOPAEDICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255787743
- **Authorized official:** ROBERTO MANCUSO MD (OWNER)
- **Authorized official phone:** (212) 457-0878

## Contact information

- **Practice address:** 16 PARK PLACE, NEW YORK, NY 10007
- **Practice address phone:** (212) 457-0878
- **Practice address fax:** (212) 457-0878
- **Mailing address:** 16 PARK PLACE, NEW YORK, NY 10007
- **Mailing address phone:** (212) 235-1692
- **Mailing address fax:** (212) 235-1693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 284074 | NY | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 211177 | NY | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | 284074 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 278727 | NY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 278727 | NY | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 278727 | NY | — |
| 363A00000X | Physician Assistant | 014633 | NY | — |
| 363AM0700X | Medical Physician Assistant | 014633 | NY | — |
| 363AS0400X | Surgical Physician Assistant | 014633 | NY | — |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 03/06/2025