Park Avenue Senior Medicine, P.C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PARK AVENUE SENIOR MEDICINE, P.C.

Practice address

3 Barker Ave
4TH Floor
White Plains, NY 10601-1509

Phone

(914) 949-7900

Fax

(914) 949-1245

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchel Kaplan, M.D.

Title

Managing Control

Phone

(914) 949-1199

Specialties & licenses 1

Addresses

Tax ID family

Park Avenue Senior Medicine PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Park Avenue Senior Medicine, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • White Plains, NY
  • NPI 1205846391
  NPD tax ID

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629088711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "address_2": "4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-7900",
            "fax_number": "914-949-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "address_2": "4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-7900",
            "fax_number": "914-949-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE SENIOR MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "MANAGING CONTROL",
        "authorized_official_telephone_number": "914-949-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Hyun Sung Park, MD
• Ji Young Park
• Nicole E Park, FNP
• Rahel Park, PHARMD
• Robert Andrew Parker, PH.D.

• Geriatric Medicine (Internal Medicine) Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.