Park Avenue Facial and Reconstructive Surgery, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

156744 Issued in NY

Legal business name

PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC

Practice address

521 Park Ave
New York, NY 10065-8195

Phone

(212) 223-8300

Fax

(212) 644-8655

NPI assigned

May 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven J. Pearlman, M.D.

Title

Director/Owner

Phone

(212) 223-8300

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1003041583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658195",
            "telephone_number": "212-223-8300",
            "fax_number": "212-644-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658195",
            "telephone_number": "212-223-8300",
            "fax_number": "212-644-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "PEARLMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "212-223-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "156744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Dialysis Center LLC
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• Park Avenue Endocrinology & Nutrition PLLC
• Park Avenue Endoscopy, PLLC
• Park Avenue Eye LLC
• Park Avenue Facial Surgery PLLC
• Park Avenue Foot Care PLLC
• Park Avenue Gastroenterology, PC
• Park Avenue Imaging LLC
• Park Avenue Mammography

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.