Park Avenue Surgical PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK AVENUE SURGICAL PLLC

Practice address

50 E 79TH St
New York, NY 10075-0232

Phone

(212) 517-2700

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan H. Sherwyn, M.D.NPI 1780758425

Title

Sole MBR

Phone

(212) 517-2700

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jonathan Hilton Sherwyn, M.D.

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1780758425
  NPD (past) Authorized official
• Tiffany Marie Rice, A.N.P., G.N.P.

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1730505710
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1164728655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750232",
            "telephone_number": "212-517-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750232",
            "telephone_number": "212-517-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "SHERWYN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "212-517-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Park Avenue Total Medical Care
• Park Dental Loft P.C.
• Park East Ambulatory Surg Unit PC
• Park East Cardiology Associates, PC
• Park East Dental Associates

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.