Central Park Medical Practice

Primary specialty

SpecialistTaxonomy code 174400000X

License

245082 Issued in NY

Legal business name

CENTRAL PARK MEDICAL PRACTICE

Practice address

134 West, 58TH Street, Suite102
New York, NY 10019

Phone

(212) 974-0490

Fax

(212) 974-0493

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Shahnoz RustamovaNPI 1629112149

Title

MD

Phone

(212) 974-0490

Specialties & licenses 1

Addresses

Tax ID family

Central Park Medical Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Park Medical Practice, PC

  • Obstetrics & Gynecology Physician
  • Bayonne, NJ
  • NPI 1972771855
  NPD tax ID

Practitioners 1

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

• Shahnoz Rustamova

  • Obstetrics Physician
  • New York, NY
  • NPI 1629112149
  NPD (past) Authorized official

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1396901468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WEST, 58TH STREET",
            "address_2": "SUITE 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-974-0490",
            "fax_number": "212-974-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WEST, 58TH STREET, SUITE102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-974-0490",
            "fax_number": "212-974-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "RUSTAMOVA",
        "authorized_official_first_name": "SHAHNOZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-974-0490"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "245082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Park Dermatology, P.C.
• Central Park Diagnostic, Inc
• Central Park East Office Based Surgery, P.C.
• Central Park Gastrointestinal Endoscopy, PC
• Central Park GYN
• Central Park Medical Services P.C.
• Central Park Medical Unit, Inc.
• Central Park Midwifery
• Central Park Neurosurgery
• Central Park North Orthodontics

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.