PARK AVENUE ORAL & FACIAL SURGERY, P.C. (NPI# 1396061891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396061891 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE ORAL & FACIAL SURGERY, P.C. |
| Practice Address |
970 Park Ave New York NY 10028-0324 |
| Practice Telephone | 2129886725 |
| Practice Fax Number | 2129886726 |
| Mailing Telephone | 2129886725 |
| Mailing Fax Number | 2129886726 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | DR. RUBEN COHEN (PRESIDENT) |
| Authorized Official Telephone | 2129886725 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
053655 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02922883 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1175 Park Ave, New York, NY 101281211 | 2129886725 | 2129886726 |
| 491 Hampton Rd, Southampton, NY 119683004 | 2129886725 | 2129886726 |
| Street Address |
970 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10028-0324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457543373 | Ruben Cohen | Dentist | 970 Park Ave, New York, NY 10028-0324 | 2007-08-14 |
| 1639500440 | New York Oral & Facial Surgery, L.L.C. | Clinic/Center | 970 Park Ave, New York, NY 10028-0324 | 2013-12-03 |
| 1801046289 | Robert Weitzner | Psychoanalyst | 970 Park Ave, New York, NY 10028-0324 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256329 | Anna Holloway | Physical Therapist | 245 East 84th Street, Ground Floor, New York, NY 10028 | 2020-08-20 |
| 1083248694 | Madison Apothecary Inc. | Pharmacy | 1114 Madison Avenue, New York, NY 10028 | 2020-02-24 |
| 1235769449 | Behavioral Health of New York Psychology PC | Psychologist | 103 East 86th Street #1e, New York, NY 10028 | 2020-01-16 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1427601574 | Vasileios Bouris | Student in an Organized Health Care Education/Training Program | 152 E 84th St., Manhattan, New York, NY 10028 | 2019-07-18 |
| 1770049728 | Kinetic Kids Occupational Therapy Pllc | Occupational Therapist | 312 E 85th Street, Ba, New York, NY 10028 | 2019-02-14 |
| 1447744909 | Blueprint-nutrition P.l.l.c. | Dietitian, Registered | 345 E. 81st Street, Apt 5d, New York, NY 10028 | 2018-06-19 |
| 1073024840 | Katrina Dever | Nurse Practitioner | 12 E 86th St Ofc 4c, New York, NY 10028 | 2017-10-19 |
| 1255853610 | Alison C Baker | Social Worker | 1035 Park Avenue, #8b, New York, NY 10028 | 2017-07-07 |
| 1427411248 | Bibek Gurung | Registered Nurse | 517 E 83rd Street, Apt 3w, Ny, NY 10028 | 2016-03-30 |
| Find all providers in zip 10028 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1235541038 | Azaz Awan | Dentist | 335 Malcolm X Blvd, New York, NY 10027-3703 | 2014-05-28 |
| 1699196329 | Majid Jamali, Dmd, P.C. | Dentist | 42 Broadway Ste 1501, New York, NY 10004-1617 | 2013-12-24 |
| 1518268739 | Abdul Basit Karim | Dentist | 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 | 2010-11-04 |
| 1134356157 | Anayo Obi Adachie | Dentist | 10 Union Sq E Ste 5b, New York, NY 10003-3314 | 2009-06-17 |
| 1598991044 | Leslie Abraham | Dentist | 200 E 57th St, Apt 5j, New York, NY 10022-2860 | 2009-06-10 |
| 1316173537 | Jennifer Frangos | Dentist | 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 | 2009-06-02 |
| 1821223041 | Marcello Guglielmi | Dentist | 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 | 2009-05-18 |
| Find all providers in NEW YORK | ||||
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| 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.