Organization Active NPI

Park Avenue Medical PLLC

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1003805219
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
213773 Issued in NY
Legal business name
PARK AVENUE MEDICAL PLLC
Practice address
451 Park Ave S
Floor 2
New York, NY 10016-7390
Phone
(212) 779-0202
Fax
(212) 779-1521
NPI assigned
Oct 19, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jose Rolando Sanchez-Pea, MD
Title
President / Ceo
Phone
(212) 779-0202

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 158015 NY
Internal Medicine Physician 207R00000X 136143 NY
Internal Medicine Physician 207R00000X 213773 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 158015 NY
Infectious Disease Physician 207RI0200X 213773 NY Primary
Pulmonary Disease Physician 207RP1001X 158015 NY
Nuclear Radiology Physician 2085N0904X 202594 NY
Diagnostic Radiology Physician 2085R0202X 202594 NY
Vascular & Interventional Radiology Physician 2085R0204X 202594 NY
Diagnostic Ultrasound Physician 2085U0001X 202594 NY

Addresses

Primary practice location

451 Park Ave S
Floor 2
New York, NY 10016-7390

Mailing address

451 Park Ave S
Floor 2
New York, NY 10016-7390
Phone (212) 779-0202

Other identifiers 1

IdentifierTypeStateIssuer
00836824MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003805219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PARK AVE S",
            "address_2": "FLOOR 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167390",
            "telephone_number": "212-779-0202",
            "fax_number": "212-779-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 PARK AVE S",
            "address_2": "FLOOR 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167390",
            "telephone_number": "212-779-0202",
            "fax_number": "212-779-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ-PEA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "212-779-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158015",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136143",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213773",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "158015",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "213773",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "158015",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": "202594",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "202594",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "202594",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "202594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00836824",
            "state": "NY"
        }
    ],
    "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 Sep 11, 2025; 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.