UPPER EAST MIDTOWN PERIODONTICS PC (NPI# 1740755487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740755487 |
| Entity Type | Organization |
| Organization Name | UPPER EAST MIDTOWN PERIODONTICS PC |
| Practice Address |
563 Park Ave New York NY 10065-7379 |
| Practice Telephone | 2128380090 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | PASQUALE 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 | 261Q00000X | Clinic/Center | 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 |
| 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 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1629600101 | Stim Acupuncture and Physical Therapy Pllc | Clinic/Center | 139 Fulton Street, Rm 208, New York, NY 10038-2538 | 2020-02-12 |
| 1811531528 | Beacon Christian Community Health Center, Inc. | Clinic/Center | 115 W 45th St Fl 4, New York, NY 10036-4005 | 2019-11-06 |
| 1629637863 | Fifth Avenue Acup Health Inc | Clinic/Center | 2 W 45th St Ste 1702, New York, NY 10036-4221 | 2019-06-11 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1932662624 | Downtown Kids Therapy Ot Pt Slp Pllc | Clinic/Center | 179 Franklin St Unit 4r, New York, NY 10013-2857 | 2019-04-09 |
| 1609347145 | Shannamd | Clinic/Center | 332 E 67th St Apt 14, New York, NY 10065-6265 | 2018-12-10 |
| 1205303591 | Logistics Health Inc. | Clinic/Center | 156 William St Fl 4, New York, NY 10038-2609 | 2018-10-25 |
| 1275018301 | Rks Surgery and Wellness PC | Clinic/Center | 67 Irving Place 10 Th Floor, New York, NY 10003 | 2018-09-25 |
| 1760965453 | Elite Skin Care Nyc | Clinic/Center | 42 Broadway Fl 12, New York, NY 10004-3892 | 2018-09-10 |
| 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.