Organization Active NPI

Park Avenue Ambulatory Surgery, PC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1245448380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PARK AVENUE AMBULATORY SURGERY, PC
Practice address
66 E 66TH St
New York, NY 10021-6528
Phone
(212) 861-6622
Fax
(212) 439-6269
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David J Friedman, MD
Title
Owner
Phone
(212) 861-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

66 E 66TH St
New York, NY 10021-6528

Mailing address

66 E 66TH St
New York, NY 10021-6528
Phone (212) 861-6622

National Provider Directory

National Provider Directory

Locations

66 E 66th St
New York, NY 10065
Phone (212) 861-6622

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245448380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216528",
            "telephone_number": "212-861-6622",
            "fax_number": "212-439-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216528",
            "telephone_number": "212-861-6622",
            "fax_number": "212-439-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE AMBULATORY SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-861-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Aug 22, 2020; 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.