Park Avenue Medical Professionals

Primary specialty

SpecialistTaxonomy code 174400000X

License

222732 Issued in NY

Legal business name

PARK AVENUE MEDICAL PROFESSIONALS

Practice address

120 E 86TH St
2ND Floor
New York, NY 10028-1062

Phone

(212) 427-2000

Fax

(212) 427-2008

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Howard Berman, M.D.NPI 1962442517

Title

Ceo, Owner

Phone

(212) 427-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

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

• David Howard Berman, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1962442517
  Medicare reassignment Care Compare group Authorized official
• Leon Scrimmager, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1215020474
  Medicare reassignment Care Compare group NPD
• Allen H Unger, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1225095946
  Medicare reassignment Care Compare group NPD
• Monika S Bogal, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1831140821
  Medicare reassignment Care Compare group
• Fangming Deng, M.D.

  • Anatomic Pathology Physician
  • Syracuse, NY
  • NPI 1205072352
  Medicare reassignment NPD
• Lisa Cori Fishman, M.D

  • Internal Medicine Physician
  • New York, NY
  • NPI 1366485963
  Medicare reassignment NPD
• Samantha Grealy, DNP

  • Nurse Practitioner
  • New York, NY
  • NPI 1265927404
  Medicare reassignment
• Jeffrey Leitman, D.O.

  • Family Medicine Physician
  • New York, NY
  • NPI 1952448797
  Medicare reassignment

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1023044161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281062",
            "telephone_number": "212-427-2000",
            "fax_number": "212-427-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281062",
            "telephone_number": "212-427-2000",
            "fax_number": "212-427-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "212-427-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "222732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 PLLC
• 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
• Park Avenue Obs

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.