AESTHETICS & PLASTIC SURGERY OF PARK AVE PLLC (NPI# 1417155565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417155565 |
Entity Type | Organization |
Organization Name | AESTHETICS & PLASTIC SURGERY OF PARK AVE PLLC |
Other Organization Name | PARK AVENUE PLASTIC SURGERY CENTER |
Practice Address |
655 Park Ave Suite Netc New York NY 10065-5937 |
Mailing Address |
200 La Bonne Vie Dr C/o Darcy Management Office East Patchogue NY 11772-4434 |
Practice Telephone | 2127943900 |
Practice Fax Number | 2127940760 |
Mailing Telephone | 6312894400 |
Mailing Fax Number | 6312894403 |
Enumeration Date | 2007-07-10 |
Last Update Date | 2007-07-10 |
Authorized Official Name | DR. SCOTT BRIAN WELLS (DIRECTOR) |
Authorized Official Telephone | 2127943900 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Park Avenue Plastic Surgery Center | Doing Business As Name - Organization |
Street Address |
655 PARK AVE SUITE NETC |
City | NEW YORK |
State | NY |
Zip Code | 10065-5937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750309829 | David Hidalgo | Specialist | 655 Park Ave, New York, NY 10021-5937 | 2006-07-17 |
1427302397 | Melissa A. Doft Md Pllc | Clinic/Center | 655 Park Ave, New York, NY 10065-5937 | 2012-10-31 |
1457603086 | Michael Joseph Fedak | Ophthalmology | 655 Park Ave, New York, NY 10065-5937 | 2012-10-05 |
1346474418 | Scott B Wells Md PC | Plastic Surgery | 655 Park Ave, Netc, New York, NY 10065-5985 | 2009-05-05 |
1376638163 | Scott Brian Wells | Plastic Surgery | 655 Park Ave, Suite Netc, New York, NY 10021-5937 | 2006-10-04 |
1588683528 | Adam R Kolker | Plastic Surgery | 655 Park Ave, Suite Nec, New York, NY 10021-5937 | 2006-07-19 |
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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
1467933002 | New York Center for Ambulatory Surgery LLC | Clinic/Center | 1210 2nd Ave, New York, NY 10065-7403 | 2018-08-22 |
1841788809 | Manhattan Reproductive Surgery Center, LLC | Clinic/Center | 65 Broadway Fl 21, New York, NY 10006-2503 | 2018-04-25 |
1649786377 | Fifth Ave Podiatric Surgery Suite | Clinic/Center | 133 E 54th St Rm 2a, New York, NY 10022-4538 | 2017-12-18 |
1346792165 | Hss Asc of Manhattan LLC | Clinic/Center | 1233 2nd Ave, New York, NY 10065-6705 | 2016-10-27 |
1184074361 | Unique Surgical Pavilion LLC | Clinic/Center | 369 Lexington Ave Ste 800, New York, NY 10017-6506 | 2016-06-17 |
1689021529 | Manhattan Ob/gyn Surgical Suites | Clinic/Center | 144 E 44th St Ste 295, New York, NY 10017-4008 | 2016-05-20 |
Find all providers in NEW YORK |
Please comment or provide details below to improve the information on AESTHETICS & PLASTIC SURGERY OF PARK AVE PLLC.
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.