Park Avenue Trauma Associates

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PARK AVENUE TRAUMA ASSOCIATES

Practice address

100 Livingston St
2ND Floor
Brooklyn, NY 11201-5127

Phone

(718) 625-9911

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gideon Hedrych

Title

Owner

Phone

(718) 625-9911

Specialties & licenses 4

Addresses

Tax ID family

Mid Manhattan Medical PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mid Manhattan Medical, P.C.

  • Sports Medicine (Emergency Medicine) Physician
  • Brooklyn, NY
  • NPI 1710370358
  NPD tax ID
• Mid-Manhattan Medical, P.C.

  • Specialist
  • New York, NY
  • NPI 1598093494
  NPD tax ID

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1154713725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015127",
            "telephone_number": "718-625-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015127",
            "telephone_number": "718-625-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE TRAUMA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "HEDRYCH",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-625-9911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Ambulatory Medical Services PLLC
• Park and Park Occupational and Physical Therapy, PLLC
• Park Ave Ambulatory Medical Facility
• Park Avenue ABA Licensed Behavior Analysis PLLC
• Park Avenue Anesthesia PLLC
• Park Chemists 4 Av LLC
• Park Chemists 4 Av LLC
• Park Chemists LLC
• Park Chemists LLC
• Park Dental Care of Brooklyn PLLC

• Emergency Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.