Park Avenue Eye LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK AVENUE EYE LLC

Practice address

110 E 60TH St
Ste 602
New York, NY 10022-1811

Phone

(212) 808-4888

NPI assigned

Aug 15, 2025

Organization subpart

No

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

Authorized official

Name

Tillie Andrade

Title

Credentialing Specialist

Phone

(702) 449-9173

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1215813951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST",
            "address_2": "STE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221811",
            "telephone_number": "212-808-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST",
            "address_2": "STE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221811",
            "telephone_number": "212-808-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "TILLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-449-9173"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Dermatology Associates, PC
• Park Avenue Dialysis Center LLC
• Park Avenue East Medical Suites PLLC
• Park Avenue Endocrinology & Nutrition PLLC
• Park Avenue Endoscopy, PLLC
• Park Avenue Facial and Reconstructive Surgery, PLLC
• Park Avenue Facial Surgery PLLC
• Park Avenue Foot Care PLLC
• Park Avenue Gastroenterology, PC
• Park Avenue Imaging LLC

• 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 Oct 15, 2025; 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.