PARK AVENUE PERIODONTAL PROSTHESIS OBS FACILITY (NPI# 1285880427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285880427 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE PERIODONTAL PROSTHESIS OBS FACILITY |
| Practice Address |
563 Park Ave New York NY 10065-7314 |
| Practice Telephone | 2128380090 |
| Practice Fax Number | 2129351296 |
| Mailing Telephone | 2128380090 |
| Mailing Fax Number | 2129351296 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | DR. PASQUALE J MALPESO (OWNER) |
| Authorized Official Telephone | 2128380090 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
563 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-7314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073647772 | Pasquale J Malpeso | Dentist | 563 Park Ave, New York, NY 10021-7314 | 2007-03-15 |
| 1740755487 | Upper East Midtown Periodontics PC | Clinic/Center | 563 Park Ave, New York, NY 10065-7379 | 2018-10-09 |
| 1972016988 | Park Ave Maxillofacial Surgery PC | Clinic/Center | 563 Park Ave, New York, NY 10065-7379 | 2017-11-13 |
| 1518493717 | Park 62 Oral Facial Surgery P.C. | Clinic/Center | 563 Park Ave, New York, NY 10065-7379 | 2017-05-08 |
| 1275071318 | Maxillofacial Surgery of Ny PC | Clinic/Center | 563 Park Ave, New York, NY 10065-7379 | 2017-02-09 |
| 1740737758 | Park 62 Perio & Perio-prosthesis PC | Specialist | 563 Park Ave, New York, NY 10065-7379 | 2016-09-07 |
| 1053771162 | G Chotkowski Dmd PC | Dentist | 563 Park Ave, New York, NY 10065-7379 | 2016-03-02 |
| 1124499066 | Oral Facial Surgery On Park PC | Specialist | 563 Park Ave, New York, NY 10065-7379 | 2015-10-19 |
| 1356733224 | Oral Reconstructive Jaw Surgery PC | Specialist | 563 Park Ave, New York, NY 10065-7379 | 2015-03-02 |
| 1407244619 | Gregory C. Chotkowski Dmd PC | Dentist | 563 Park Ave, New York, NY 10065-7379 | 2014-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
| Find all providers in zip 10065 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528444601 | Mohsin Wazir | Oral & Maxillofacial Surgery | 355 E 73rd St, Apt 3a, New York, NY 10021-3766 | 2015-07-30 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1073690137 | Jeffrey Richard Burkes | Oral & Maxillofacial Surgery | 140 East 56th Street, New York, NY 10022 | 2006-11-01 |
| 1336249739 | Oral Surgery, Mt. Sinai School of Medicine | Oral & Maxillofacial Surgery | 1 Gustave L. Levy Place, Box 1187, New York, NY 11209 | 2006-09-25 |
| 1093707036 | Seth Martin Black | Oral & Maxillofacial Surgery | 521 Park Ave, New York, NY 10065-8140 | 2005-08-16 |
| 1912405184 | Paul R. Calat PC | Oral & Maxillofacial Surgery | 12 E 41st St, New York, NY 10017-6221 | 2018-01-23 |
| 1619354347 | Andrea Torroni | Oral & Maxillofacial Surgery | 462 First Avenue Bellevue Hospital Center, Department of Oral and Maxillofacial Surgery 5519, New York, NY 10016 | 2015-05-01 |
| 1063802627 | Oral and Implant Surgery of Manhattan, Pllc | Oral & Maxillofacial Surgery | 18 E 48th St, Suite 1502, New York, NY 10017-1014 | 2015-02-03 |
| 1508266347 | Trustees of Columbia University In The City of New York | Oral & Maxillofacial Surgery | 622 W 168th St, New York, NY 10032 | 2014-08-29 |
| 1235329046 | Yan Trokel | Oral & Maxillofacial Surgery | 61 E 66th St, New York, NY 10065-6114 | 2007-07-27 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on PARK AVENUE PERIODONTAL PROSTHESIS OBS FACILITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.