Active NPI
Park East Plastic Surgery PC
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1194979203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 60188359
- Legal business name
- PARK EAST PLASTIC SURGERY PC
- Practice address
- 302 E 72ND St
New York, NY 10021-4772 - Phone
- (212) 734-4488
- Fax
- (212) 734-5115
- NPI assigned
- Nov 17, 2008
- Last updated
- Nov 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edmund K Kwan, MD
- Title
- Officer
- Phone
- (212) 734-4488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 60188359 | NY | Primary |
Addresses
Primary practice location
302 E 72ND St
New York, NY 10021-4772
Mailing address
302 E 72ND St
New York, NY 10021-4772
Phone (212) 734-4488
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Plastic Surgery Physician
- New York, NY
- NPI 1528088275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1194979203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E 72ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214772",
"telephone_number": "212-734-4488",
"fax_number": "212-734-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E 72ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214772",
"telephone_number": "212-734-4488",
"fax_number": "212-734-5115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK EAST PLASTIC SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "KWAN",
"authorized_official_first_name": "EDMUND",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "212-734-4488",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NY",
"license": "60188359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Park East Medical Pulmonary Medicine and Critical Care, P.C.
- Park East NP in Psychiatry
- Park East NP in Psychiatry
- Park East Oral & Maxillofacial Surgery PC
- Park East Pain Management Suite, PLLC
- Park East Psychological Assoc, P.C.
- Park East Sports Medicine & Rehabilitation PC
- Park Hill Ambulataory Anesthesiology Services of New York, P.C.
- Park Hill Ambulatory Anesthesiology Services of New York, P.C.
- Park Hill Psychiatry PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.