PARK 62 ORAL FACIAL SURGERY P.C. (NPI# 1518493717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518493717 |
| Entity Type | Organization |
| Organization Name | PARK 62 ORAL FACIAL SURGERY P.C. |
| Practice Address |
563 Park Ave New York NY 10065-7379 |
| Mailing Address |
563 Park Ave. New York NY 10065 |
| Practice Telephone | 2128380090 |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | GREGORY CHOTKOWSKI (MEDICAL DIRECTOR) |
| 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 | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
440777 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | THE JOINT COMMISSION | 440777 | 01 |
| Street Address |
563 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-7379 |
| 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 |
| 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 |
| 1235532870 | Park Avenue Maxillary & Mandibular Restorations PC | Clinic/Center | 563 Park Ave, New York, NY 10065-7379 | 2014-09-26 |
| 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 | 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 |
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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.