Park Avenue Medical Imaging and Mommography

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

161694 Issued in NY

Legal business name

PARK AVENUE MEDICAL IMAGING AND MOMMOGRAPHY

Practice address

330 E 38TH St Apt 44I
New York, NY 10016-2783

Phone

(212) 697-4589

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By 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

Yefim Vaynselbaum, M.D

Title

Radiology

Phone

(212) 697-4589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1356607782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 38TH ST APT 44I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 38TH ST APT 44I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162783",
            "telephone_number": "212-697-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL IMAGING AND MOMMOGRAPHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "VAYNSELBAUM",
        "authorized_official_first_name": "YEFIM",
        "authorized_official_title_or_position": "RADIOLOGY",
        "authorized_official_telephone_number": "212-697-4589",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NY",
            "license": "161694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Maxillary & Mandibular Restorations PC
• Park Avenue Medical & Surgical Associates
• Park Avenue Medical Care PC
• Park Avenue Medical Equipment LLC
• Park Avenue Medical Group, P.C.
• Park Avenue Medical Imaging PC
• Park Avenue Medical Office, PLLC
• Park Avenue Medical PLLC
• Park Avenue Medical Professionals
• Park Avenue Medical Suite

• Radiology Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.