Fifth Avenue Neurology, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

163336 Issued in NY

Legal business name

FIFTH AVENUE NEUROLOGY, PLLC

Practice address

80 5TH Ave
Suite 1605
New York, NY 10011-8002

Phone

(212) 675-3878

Fax

(212) 647-1931

NPI assigned

Mar 29, 2008

Last updated

Mar 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Claude Macaluso, M.D.NPI 1306930300

Title

President

Phone

(212) 675-3878

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claude Macaluso, MD

  • Neurology Physician
  • New York, NY
  • NPI 1306930300
  Authorized official Same address or phone

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206748800000",
    "number": "1073785143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "address_2": "SUITE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "212-675-3878",
            "fax_number": "212-647-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "address_2": "SUITE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "212-675-3878",
            "fax_number": "212-647-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-03-29",
        "status": "A",
        "authorized_official_last_name": "MACALUSO",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-675-3878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "163336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA05038400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "163336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2890688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WEF431",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01075314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "4C1909",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2666998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Fifth Avenue Office-Based Surgery, PLLC
• Fifth Avenue Optics, Inc.
• Fifth Avenue Physical Therapy and Wellness PC

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2008; 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.