Organization Active NPI

Park Avenue Surgical Associates, P.C.

  • Surgery Physician
  • New York, NY
National Provider Identifier
1205937968
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PARK AVENUE SURGICAL ASSOCIATES, P.C.
Practice address
1175 Park Ave
Suite 1 C
New York, NY 10128-1211
Phone
(212) 369-2222
Fax
(212) 348-1392
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Ira H Friedman, M.D.
Title
President
Phone
(212) 369-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1175 Park Ave
Suite 1 C
New York, NY 10128-1211

Mailing address

1175 Park Ave
Suite 1 C
New York, NY 10128-1211
Phone (212) 369-2222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1205937968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PARK AVE",
            "address_2": "SUITE 1 C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281211",
            "telephone_number": "212-369-2222",
            "fax_number": "212-348-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 PARK AVE",
            "address_2": "SUITE 1 C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281211",
            "telephone_number": "212-369-2222",
            "fax_number": "212-348-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-369-2222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.