Active NPI
Park Avenue Specialty Care Office Based Plastic Surgery, PLLC
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1457785768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- PARK AVENUE SPECIALTY CARE OFFICE BASED PLASTIC SURGERY, PLLC
- Practice address
- 950 Park Ave
New York, NY 10028-0320 - Phone
- (212) 472-8700
- Fax
- (212) 472-2014
- NPI assigned
- Aug 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Marlon Monasebian, M.D.
- Title
- Member
- Phone
- (212) 472-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
950 Park Ave
New York, NY 10028-0320
Mailing address
950 Park Ave
New York, NY 10028-0320
Phone (212) 472-8700
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1040231 | Park Avenue Specialty Care Office | Certificate of waiver | May 3, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1457785768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280320",
"telephone_number": "212-472-8700",
"fax_number": "212-472-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280320",
"telephone_number": "212-472-8700",
"fax_number": "212-472-2014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK AVENUE SPECIALTY CARE OFFICE BASED PLASTIC SURGERY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-23",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "MONASEBIAN",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "MARLON",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "212-472-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Park Avenue Premier Surgical
- Park Avenue Psychotherapy LCSW PC
- Park Avenue Pulmonary Associates
- Park Avenue Pulmonary Care PLLC
- Park Avenue Radiologists, P.C.
- Park Avenue Sports Medicine & Rehabilitation PC
- Park Avenue Surgical Associates, P.C.
- Park Avenue Surgical PLLC
- Park Avenue Total Medical Care
- Park Dental Loft P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.