PARK AVENUE MEDICAL PLLC (NPI# 1003805219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003805219 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE MEDICAL PLLC |
| Practice Address |
451 Park Ave S Floor 2 New York NY 10016-7390 |
| Practice Telephone | 2127790202 |
| Practice Fax Number | 2127791521 |
| Mailing Telephone | 2127790202 |
| Mailing Fax Number | 2127791521 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSE ROLANDO SANCHEZ-PE�A (PRESIDENT / CEO) |
| Authorized Official Telephone | 2127790202 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
202594 | NY | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
202594 | NY | Allopathic & Osteopathic Physicians |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
202594 | NY | Allopathic & Osteopathic Physicians |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
202594 | NY | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 213773 | NY | Allopathic & Osteopathic Physicians |
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
213773 | NY | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 158015 | NY | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 136143 | NY | Allopathic & Osteopathic Physicians |
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
158015 | NY | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
158015 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00836824 | 05 |
| Street Address |
451 PARK AVE S FLOOR 2 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-7390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851586655 | Boys Town New York Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 451 Park Ave S, Second Floor, New York, NY 10016-7390 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297011 | Trustees of Columbia University In The City of New York | Radiology | 722 West 168th Street R1 Fl, New York, NY 10032-3733 | 2006-08-28 |
| 1639143324 | Karolyn R Kerr | Radiology | 751 2nd Ave, New York, NY 10017-5906 | 2006-02-17 |
| 1598308892 | Murad Abusamra | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2019-10-21 |
| 1932639499 | Karem Gharzeddine | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2017-06-18 |
| 1194253880 | Shawn Karls | Radiology | 560 1st Ave Fl 2, New York, NY 10016 | 2017-05-25 |
| 1033402979 | Honglei Zhang | Radiology | 525 E 68th Street, Box 141, Department of Radiology, Newyork-presbyterian - Weill Cornell Medical College, New York, NY 10065-4885 | 2011-05-25 |
| 1689988628 | Yuliya Jhanwar | Radiology | 525 E 68th St, New York, NY 10065-4870 | 2010-08-02 |
| 1326204884 | John Noel Feeney | Radiology | 1233 York Ave, 11l, New York, NY 10065-6306 | 2008-08-04 |
| 1154473361 | Chaitali Bagchi | Radiology | 506 Malcolm X Blvd, Wp-522, New York, NY 10037-1802 | 2007-01-17 |
| 1578610838 | West Side Radiology Associates, P.C. | Radiology | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2007-01-05 |
| 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.