Organization Active NPI

Park Avenue Specialty Care Office Based Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1457785768
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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

Updated by the provider on Jul 1, 2024

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1040231Park Avenue Specialty Care Office950 Park Avenue, New York, NY 10028Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.