Park Avenue Medical Equipment LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

PARK AVENUE MEDICAL EQUIPMENT LLC

Practice address

303 Park Ave S
1423
New York, NY 10010-3601

Phone

(646) 244-8595

Fax

(718) 355-9661

NPI assigned

Jun 4, 2012

Organization subpart

Yes

Parent organization

PANGEA GROUP LLCAs reported in NPPES

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

Authorized official

Name

Mr. Puccini Inokon

Title

Chief Executive Officer

Phone

(646) 244-8595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1083975353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARK AVE S",
            "address_2": "1423",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103601",
            "telephone_number": "646-244-8595",
            "fax_number": "718-355-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARK AVE S",
            "address_2": "1423",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103601",
            "telephone_number": "646-244-8595",
            "fax_number": "718-355-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANGEA GROUP LLC",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "INOKON",
        "authorized_official_first_name": "PUCCINI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-244-8595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Parenteral & Enteral Nutrition Supplies (DME) in New York, NY
• Providers in New York, NY by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.