Park Avenue Pulmonary Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

155703 Issued in NY

Legal business name

PARK AVENUE PULMONARY ASSOCIATES

Practice address

1130 Park Ave
New York, NY 10128-1255

Phone

(212) 289-3637

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Louis Depalo, MD

Title

Owner

Phone

(212) 289-3637

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1154501476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281255",
            "telephone_number": "212-289-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281255",
            "telephone_number": "212-289-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "DEPALO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-289-3637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "155703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Physicians PC
• Park Avenue Podiatric Care PLLC
• Park Avenue Podiatry Associates PC
• Park Avenue Premier Surgical
• Park Avenue Psychotherapy LCSW PC
• Park Avenue Pulmonary Care PLLC
• Park Avenue Radiologists, P.C.
• Park Avenue Specialty Care Office Based Plastic Surgery, PLLC
• Park Avenue Sports Medicine & Rehabilitation PC
• Park Avenue Surgical Associates, P.C.

• 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 Nov 5, 2007; 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.