Park Avenue Ambulatory Medical PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2205381 Issued in NY

Legal business name

PARK AVENUE AMBULATORY MEDICAL PC

Practice address

1045 Park Ave
New York, NY 10028-1030

Phone

(973) 419-0200

Fax

(973) 419-0244

NPI assigned

Jan 22, 2015

Organization subpart

Yes

Parent organization

ATLANTIC SPINE CENTER LLCAs reported in NPPES

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

Authorized official

Name

Dr. Kaixuan Liu, MDNPI 1801815287

Title

President

Phone

(973) 419-0200

Specialties & licenses 1

Addresses

Part of

Atlantic Spinal Care LLC

Practitioners 2

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

• Kaixuan Liu, M.D

  • Interventional Pain Medicine Physician
  • West Orange, NJ
  • NPI 1801815287
  NPD (past) Authorized official
• Jason Arora, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
  • NPI 1144582206
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1609265016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281030",
            "telephone_number": "973-419-0200",
            "fax_number": "973-419-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE AMBULATORY MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC SPINE CENTER LLC",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "KAIXUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-419-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "2205381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Acoustics, Inc.
• Park Avenue Acupuncture P.C.
• Park Avenue Adult Day Care Center
• Park Avenue Aesthetic Surgery, PC
• Park Avenue Ambulatory Center LLC
• Park Avenue Ambulatory Surgery, PC
• Park Avenue Anesthesiology, PLLC
• Park Avenue Cardiology PC
• Park Avenue Chemists
• Park Avenue Chiropractic PC

• Ambulatory Surgical Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.