Park Avenue Medical Associates

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

334185 Issued in NY

Legal business name

PARK AVENUE MEDICAL ASSOCIATES

Practice address

3 Barker Ave FL 4
White Plains, NY 10601-1524

Phone

(914) 949-7900

Fax

(914) 517-2682

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Micele Lynn Vumbico

Title

Medical Staff Administrator

Phone

(914) 949-7900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1578885067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE FL 4",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011524",
            "telephone_number": "914-949-7900",
            "fax_number": "914-517-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE FL 4",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011524",
            "telephone_number": "914-949-7900",
            "fax_number": "914-517-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "VUMBICO",
        "authorized_official_first_name": "MICELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL STAFF ADMINISTRATOR",
        "authorized_official_telephone_number": "914-949-7900"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "334185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Leavelle Parham, R.N.
• Parinda Parikh, M.D.
• Elizabeth Ann Paris, COTA/L
• Sharon J Parish, MD
• Kathleen Parisian, OTR/L
• Park Avenue Medical Associates LLC
• Park Avenue Medical Associates LLC
• Park Avenue Medical Associates, P.C.
• Park Avenue Senior Medicine, P.C.
• Park Avenue Senior Medicine, P.C.

• Nursing Facility/Intermediate Care Facility in White Plains, NY
• Providers in White Plains, NY by specialty
• Nursing Facility/Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.