PARK AVENUE MEDICAL SUITE (NPI# 1760810808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760810808 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE MEDICAL SUITE |
| Practice Address |
875 Park Ave Suite 1f New York NY 10075-0382 |
| Practice Telephone | 2127926378 |
| Practice Fax Number | 2125049511 |
| Mailing Telephone | 2127926378 |
| Mailing Fax Number | 2125049511 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | DR. CONSTANCE M CHEN (DIRECTOR) |
| Authorized Official Telephone | 2127926378 |
| 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 |
236558 | NY | Ambulatory Health Care Facilities |
| Street Address |
875 PARK AVE SUITE 1F |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-0382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578945325 | Bernice Wong | Dentist | 875 Park Ave, Suite 1e, New York, NY 10075-0382 | 2015-06-28 |
| 1790964229 | Beraka Md Plastic Surgery Pllc | Plastic Surgery | 875 Park Ave, New York, NY 10075-0341 | 2007-11-01 |
| 1841412483 | Stephen M. Warren, Md, PC | Plastic Surgery | 875 Park Ave, Suite 1f, New York, NY 10075-0382 | 2007-05-03 |
| 1861611543 | Michael Lloyd Bloom | Dentist | 875 Park Ave, Suite 1e, New York, NY 10021-0341 | 2007-04-24 |
| 1821137191 | Masood Khatamee | Specialist | 875 Park Ave, New York, NY 10021-0341 | 2007-02-05 |
| 1043362957 | Glenn W. Jelks | Specialist | 875 Park Ave, New York, NY 10075-0382 | 2007-01-18 |
| 1043360910 | George Joseph Beraka | Plastic Surgery | 875 Park Ave, New York, NY 10021-0341 | 2007-01-11 |
| 1467501239 | Rachel Tamara Parker | Physician Assistant | 875 Park Ave, New York, NY 10021-0341 | 2007-01-09 |
| 1861592479 | Stephen Warren | Plastic Surgery | 875 Park Ave, Suite 1f, New York, NY 10075-0382 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| 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 PARK AVENUE MEDICAL SUITE.
| 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.