Active NPI
Park Avenue Medical PLLC
- Infectious Disease Physician
- New York, NY
National Provider Identifier
1003805219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 213773
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00836824 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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
- Park Avenue Medical Equipment LLC
- Park Avenue Medical Group, P.C.
- Park Avenue Medical Imaging and Mommography
- Park Avenue Medical Imaging PC
- Park Avenue Medical Office, PLLC
- Park Avenue Medical Professionals
- Park Avenue Medical Suite
- Park Avenue Medical Weight and Wellness P.C.
- Park Avenue Medicl Associates P.L.L.C
- Park Avenue OB/GYN P.C
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.