Organization Active NPI

Park West Surgical Group LLC

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1639552144
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PARK WEST SURGICAL GROUP LLC
Practice address
75 Central Park W
New York, NY 10023-6055
Phone
(201) 871-4000
Fax
(201) 608-6852
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Argyrios Mavrogiorgis
Title
Registered Agent
Phone
(201) 862-9300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X

Addresses

Primary practice location

75 Central Park W
New York, NY 10023-6055

Mailing address

75 S Dean St
Englewood, NJ 07631-3512
Phone (201) 862-9300

National Provider Directory

National Provider Directory

Locations

75 S Dean St
Englewood, NJ 07631
Phone (201) 816-1900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1639552144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S DEAN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313512",
            "telephone_number": "201-862-9300",
            "fax_number": "201-608-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CENTRAL PARK W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236055",
            "telephone_number": "201-871-4000",
            "fax_number": "201-608-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MAVROGIORGIS",
        "authorized_official_first_name": "ARGYRIOS",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "201-862-9300"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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, 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.