Park Avenue Obs

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

182373 Issued in NY

Legal business name

PARK AVENUE OBS

Practice address

580 Park Ave
New York, NY 10021-7313

Phone

(212) 752-1129

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By 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

David RapaportNPI 1134271521

Title

Medical Director

Phone

(212) 752-1129

Specialties & licenses 1

Addresses

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.

• David Peretz Rapaport, MD

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1134271521
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184848921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217313",
            "telephone_number": "212-752-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE OBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPAPORT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-752-1129"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "182373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Medical Professionals
• Park Avenue Medical Suite
• Park Avenue Medical Weight and Wellness P.C.
• Park Avenue Medicl Associates P.L.L.C
• Park Avenue OB/GYN P.C
• Park Avenue Office Based Podiatric Surgery PC
• Park Avenue Optometry PLLC (Eyes On Park)
• Park Avenue Oral & Facial Surgery, P.C.
• Park Avenue Oral, Maxillofacial, Implant Surgery, PLLC
• Park Avenue Orthodontics

• 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 Aug 22, 2020; 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.