PARK AVENUE MEDICAL FAMILY & GERIATRICS,P.C. (NPI# 1235397290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235397290 |
| Entity Type | Organization |
| Organization Name | PARK AVENUE MEDICAL FAMILY & GERIATRICS,P.C. |
| Practice Address |
102 Park Ave Yonkers NY 10703-2934 |
| Practice Telephone | 9149654300 |
| Mailing Telephone | 9149654300 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | MR. AARON FELDER (OFFICE MANAGER) |
| Authorized Official Telephone | 5162397093 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 148454 | NY | Other Service Providers |
| Street Address |
102 PARK AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10703-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571135 | Jose L Lantin | Internal Medicine | 102 Park Ave, 2nd Floor, Yonkers, NY 10703-2934 | 2005-10-11 |
| 1447726526 | Ansu Vergis | Family Medicine | 102 Park Ave, Yonkers, NY 10703-2934 | 2018-10-16 |
| 1598249484 | Daniel Iannello | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2018-09-18 |
| 1679964779 | Kam Kwan Lau | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2015-02-10 |
| 1801290390 | Domenico Tolomeo | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2014-10-13 |
| 1134540214 | Caroline Henry | Pharmacist | 102 Park Ave, Yonkers, NY 10703-2934 | 2013-12-17 |
| 1982025029 | Adam Lau, LLC | Clinic/Center | 102 Park Ave, Yonkers, NY 10703-2934 | 2013-12-16 |
| 1689970683 | Joonsuk Jun | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2011-02-08 |
| 1902112501 | Listy Joseph | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2010-08-20 |
| 1801113683 | Marietta Ecarma Go | Internal Medicine | 102 Park Ave, Yonkers, NY 10703-2934 | 2010-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865269 | Marvin Burgos | Specialist/Technologist, Other | 150 Parck Av., Yonkers, NY 10703 | 2016-12-08 |
| 1417490707 | Charity Excel Okechukwu | Registered Nurse | 10 Amackassin Terrice, Yonkers, NY 10703 | 2016-11-18 |
| 1164871943 | Dian Theresa Skeete-carter | Registered Nurse | 69 Moquette Row, Yonkers, NY 10703 | 2016-06-13 |
| 1962812214 | Greenburgh-north Castle Ufsd/greenburgh Academy | Local Education Agency (LEA) | 108 Shonnard Place, Yonkers, NY 10703 | 2014-05-07 |
| 1336562735 | Gina Robinson | Social Worker | 147 Bolmer Avenue, Yonkers, NY 10703 | 2014-01-22 |
| 1356684062 | Ana Suarez-tiburcio | Dentist | 22 Mt Pleasant Rd, Yonkers, NY 10703 | 2013-04-01 |
| 1326324179 | Godson Ihuoma Enyia | Registered Nurse | #2 Park Ave, Yonkers Service Center, Yonkers, NY 10703 | 2011-10-25 |
| 1326335175 | Compression Medical Supplies Corp. | Durable Medical Equipment & Medical Supplies | 270 Woodland Avenue, #2, Yonkers, NY 10703 | 2011-06-30 |
| 1396069431 | Theodore Cancel | Counselor | 8 Shonnard Place, Yonkers, NY 10703 | 2010-03-18 |
| 1619106481 | Catherine M Dwyer-warren | Licensed Practical Nurse | 87 High St., 2g, Yonkers, NY 10703 | 2009-07-14 |
| Find all providers in zip 10703 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619101581 | Advanced Medical Associates of Westchester, PC | Legal Medicine | 880 Mile Square Rd, Suite 2, Yonkers, NY 10704-2141 | 2009-05-07 |
| 1891701579 | Sarika Sunku | Legal Medicine | 35 Grassy Sprain Rd, Suite #102, Yonkers, NY 10710-4516 | 2006-08-01 |
| 1811973456 | Maureen Nelligan | Legal Medicine | 73 Market St, Ridge Hill, Yonkers, NY 10710-7616 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940288 | Jennifer Grossman | Legal Medicine | 1408 Myrtle Ave Apt 2, Brooklyn, NY 11237-4513 | 2020-04-08 |
| 1215566674 | Guy Regev | Legal Medicine | 192 E 5th St Apt 2b, Brooklyn, NY 11218-3465 | 2020-04-07 |
| 1427565571 | Da Medical Services, Pllc | Legal Medicine | 160 E 56th St Fl 4, New York, NY 10022-3609 | 2018-01-10 |
| 1659827285 | Digestive Care and Endoscopy, Pllc | Legal Medicine | 10816 72nd Avenue, 2nd Floor, Forest Hills, NY 11375-5656 | 2016-09-01 |
| 1245619030 | Ehab Hassanain Medical PC | Legal Medicine | 1930 85th St Apt 2, Brooklyn, NY 11214-3148 | 2015-05-26 |
| 1326434309 | Monelle Buissereth | Legal Medicine | 38 Locustwood Blvd, Elmont, NY 11003-1410 | 2015-04-07 |
| 1184015216 | Frank Babb Md P.C. | Legal Medicine | 870 Saint Nicholas Ave, A8, New York, NY 10032-5215 | 2015-02-11 |
| 1659783256 | Santha Mohan Md | Legal Medicine | 335 E 118th St, New York, NY 10035-4253 | 2014-05-30 |
| 1184034183 | Medical State of Queens | Legal Medicine | 8544 66th Rd, Rego Park, NY 11374-5212 | 2014-04-30 |
| 1588089809 | Cassandra Delly | Legal Medicine | 651 E 80th St, Brooklyn, NY 11236-3311 | 2014-02-24 |
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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.