PARK AVENUE PULMONARY CARE PLLC (NPI# 1063624260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063624260 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE PULMONARY CARE PLLC |
| Practice Address |
1130 Park Avenue Suite #3 New York NY 10128 |
| Practice Telephone | 2122893627 |
| Mailing Telephone | 2122893627 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | DR. LOUIS R DEPALO (PARTNER) |
| Authorized Official Telephone | 2122893627 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
155703 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1130 PARK AVENUE SUITE #3 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
| 1083961544 | Marc Xavier Bowen, PC | Internal Medicine | 114 John St # 1017, New York, NY 10038-3304 | 2012-08-14 |
| 1154601854 | Trustees of Columbia University In The City of Ny Roger A Maxfield | Internal Medicine | 16 E 60th St Ste 320, New York, NY 10022-1002 | 2011-08-25 |
| 1831498625 | Michael Bender | Internal Medicine | 425 E 61st St Ste 402, New York, NY 10065-8722 | 2011-03-20 |
| 1144540964 | Heather Siedenburg | Internal Medicine | 1 St Avenue and E 16th Street, New York, NY 10003-1012 | 2010-06-03 |
| 1871724575 | David R Dantzker | Internal Medicine | 64 E 86th St, Apt 1c, New York, NY 10028-1016 | 2009-07-30 |
| 1134358609 | Alfredo Juan Astua | Internal Medicine | 1st & 16th St, New York, NY 10003-4642 | 2009-07-06 |
| 1902069297 | Claire L Keating | Internal Medicine | 622 W 168th St Ph 8-101, New York, NY 10032-3720 | 2008-07-07 |
| 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.