Park Avenue Maternal-Fetal Medicine PLLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

186070 Issued in NY

Legal business name

PARK AVENUE MATERNAL-FETAL MEDICINE PLLC

Practice address

523 E 72ND St FL 9
Attn: Keith B Lescale MD
New York, NY 10021-4099

Phone

(212) 249-1788

NPI assigned

Nov 12, 2007

Last updated

Jan 13, 2009By 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

Mr. Henrique Paraizo

Title

Manager

Phone

(212) 249-1788

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1235319815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E 72ND ST FL 9",
            "address_2": "ATTN: KEITH B LESCALE MD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214099",
            "telephone_number": "212-249-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E 72ND ST FL 9",
            "address_2": "ATTN: KEITH B LESCALE MD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214099",
            "telephone_number": "212-249-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MATERNAL-FETAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "PARAIZO",
        "authorized_official_first_name": "HENRIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-249-1788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "186070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maternal & Fetal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Maternal & Fetal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.