Park Avenue Medical Group, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PARK AVENUE MEDICAL GROUP, P.C.

Practice address

15 Park Ave
New York, NY 10016-4348

Phone

(212) 685-5957

Fax

(212) 685-2822

NPI assigned

Sep 25, 2006

Last updated

Jun 26, 2008By 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

Dr. James Cheng, MDNPI 1811990120

Title

Vice President

Phone

(212) 685-5957

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Cheng, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811990120
  NPD (past) Authorized official
• Paul P Chang, MD

  • Specialist
  • New York, NY
  • NPI 1952390528
  NPD (past)
• Oliver Pacifico, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1750387262
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1417058348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "address_2": "MBX 16B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164348",
            "telephone_number": "212-685-5957",
            "fax_number": "212-685-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164348",
            "telephone_number": "212-685-5957",
            "fax_number": "212-685-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "212-685-5957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Maxillary & Mandibular Restoration PC
• Park Avenue Maxillary & Mandibular Restorations PC
• Park Avenue Medical & Surgical Associates
• Park Avenue Medical Care PC
• Park Avenue Medical Equipment LLC
• Park Avenue Medical Imaging and Mommography
• Park Avenue Medical Imaging PC
• Park Avenue Medical Office, PLLC
• Park Avenue Medical PLLC
• Park Avenue Medical Professionals

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.