Organization Active NPI

Park Avenue Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1003182874
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
040533 Issued in NY
Legal business name
PARK AVENUE ORTHODONTICS
Practice address
935 Park Ave
Suite 102
New York, NY 10028-0212
Phone
(212) 452-2777
Fax
(212) 452-3363
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Janet Stoess-Allen, D.M.DNPI 1326152836
Title
Owner
Phone
(212) 452-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 040533 NY Primary

Addresses

Primary practice location

935 Park Ave
Suite 102
New York, NY 10028-0212

Mailing address

935 Park Ave
Suite 102
New York, NY 10028-0212
Phone (212) 452-2777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1003182874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 PARK AVE",
            "address_2": "SUITE 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280212",
            "telephone_number": "212-452-2777",
            "fax_number": "212-452-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 PARK AVE",
            "address_2": "SUITE 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280212",
            "telephone_number": "212-452-2777",
            "fax_number": "212-452-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "STOESS-ALLEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-452-2777",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "040533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.