PARK AVENUE ENDOSCOPY, PLLC (NPI# 1669595385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669595385 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE ENDOSCOPY, PLLC |
| Other Organization Name | WELLINGTON S. TICHENOR, M.D. |
| Practice Address |
642 Park Avenue New York NY 10021-6105 |
| Mailing Address |
642 Park Ave New York NY 10065-6105 |
| Practice Telephone | 2125176611 |
| Practice Fax Number | 2125172132 |
| Mailing Telephone | 2125176611 |
| Mailing Fax Number | 2125172132 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | DR. WELLINGTON SHELTON TICHENOR (OWNER) |
| Authorized Official Telephone | 2125176611 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wellington S. Tichenor, M.D. | Other Name - Individual/Organization |
| Street Address |
642 PARK AVENUE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104174697 | Dr. Jerome Waye M.d., P.C. | Clinic/Center | 650 Park Ave, New York, NY 10065-6115 | 2012-08-15 |
| 1467758300 | Anthony Foong M.d.pc | Clinic/Center | 210 Canal St, Suite 601, New York, NY 10013-4155 | 2011-02-09 |
| 1962705046 | Park Avenue Gastroenterology, PC | Clinic/Center | 35 E 35th St, Suite # 200, New York, NY 10016-3823 | 2010-12-13 |
| 1629393368 | Synergyfirst Medical New York Pllc | Clinic/Center | 1725 York Ave, 2e, New York, NY 10128-7807 | 2010-04-06 |
| 1508198334 | Manhattan Endoscopy Pllc | Clinic/Center | 4915 Broadway, New York, NY 10034-3119 | 2010-02-03 |
| 1861645541 | Park Avenue Anesthesiology, Pllc | Clinic/Center | 110 E 59th St, 10d, New York, NY 10022-1304 | 2008-10-28 |
| 1164679395 | Third Avenue Gastroenterology, P.C. | Clinic/Center | 1317 3rd Ave, 9th Floor, New York, NY 10021-2995 | 2008-08-19 |
| 1992960728 | Manhattan Colorectal Surgical Unit | Clinic/Center | 36 7th Ave, Suite 522, New York, NY 10011-6609 | 2008-07-21 |
| 1821256215 | Bharat Sanghavi, Md | Clinic/Center | 44 Gramercy Park N, Suite 1a, New York, NY 10010-6310 | 2008-06-02 |
| 1700055183 | Comprehensive G I Endoscopy, Obs | Clinic/Center | 425 E 61st St, 4th Floor, New York, NY 10065-8722 | 2008-02-29 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on PARK AVENUE ENDOSCOPY, 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.