Park Ave Ambulatory Medical Facility

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

217486 Issued in NY

Legal business name

PARK AVE AMBULATORY MEDICAL FACILITY

Practice address

360 Court St
Suite# 3
Brooklyn, NY 11231-4353

Phone

(718) 422-5023

Fax

(718) 422-5025

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vadim Kushnerik, MD

Title

Surgical Director

Phone

(718) 422-5023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1205094562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 COURT ST",
            "address_2": "SUITE# 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314353",
            "telephone_number": "718-422-5023",
            "fax_number": "718-422-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 COURT ST",
            "address_2": "SUITE# 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314353",
            "telephone_number": "718-422-5023",
            "fax_number": "718-422-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE AMBULATORY MEDICAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "KUSHNERIK",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "SURGICAL DIRECTOR",
        "authorized_official_telephone_number": "718-422-5023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "217486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parisa Parizadeh
• Josephine Parizh, PHARM D
• Park Ambulance Service Inc (American Medical Response)
• Park Ambulatory Medical Services PLLC
• Park and Park Occupational and Physical Therapy, PLLC
• Park Avenue ABA Licensed Behavior Analysis PLLC
• Park Avenue Anesthesia PLLC
• Park Avenue Trauma Associates
• Park Chemists 4 Av LLC (Park Chemists)
• Park Chemists 4 Av LLC (Park Chemists)

• Ambulatory Surgical Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, 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 May 22, 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.

Verify at the official NPI Registry.