Park Avenue Cosmetic Surgery P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PARK AVENUE COSMETIC SURGERY P.C.

Practice address

775 Park Ave Ste 205
Huntington, NY 11743-7527

Phone

(631) 470-2000

NPI assigned

Jan 21, 2022

Last updated

Jan 21, 2022By 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

Jeana Tumbarello

Title

Administrator

Phone

(631) 470-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1609528538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 205",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE STE 205",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437527",
            "telephone_number": "631-470-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE COSMETIC SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "TUMBARELLO",
        "authorized_official_first_name": "JEANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-470-2000"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco S. Papaleo, MD
• Pamela Papaleo, M.S. ANP
• Paraclete Home Health Care, LLC (Paraclete Concierge Services)
• Paraclete Home Health Care, LLC
• Elise Parente-Campan, ANP, RN
• Park Avenue Gastroenterology & Digestive Health, PLLC
• Park Medical & Diagnostic, P.C.
• Danielle Marie Park
• Won Sik Park
• Virginia A. Parker, LCSW

• Plastic Surgery Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.