Active NPI
Park West Surgical Group LLC
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1639552144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Plastic Surgery Physician | 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 DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1619073368
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.