Organization Active NPI

Park Avenue Medical Associates LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Brattleboro, VT
National Provider Identifier
1669746020
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
PARK AVENUE MEDICAL ASSOCIATES LLC
Practice address
187 Oak Grove Ave
Brattleboro, VT 05301
Phone
(914) 949-1199
Fax
(914) 949-1245
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Mitchel Kaplan, MDNPI 1740205509
Title
President
Phone
(914) 949-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X VT Primary

Addresses

Primary practice location

187 Oak Grove Ave
Brattleboro, VT 05301

Mailing address

3 Barker Ave
4TH Floor
White Plains, NY 10601-1509
Phone (914) 949-1199

National Provider Directory

National Provider Directory

Locations

745 Highland Ave
Cheshire, CT 06410
Phone (203) 272-7285

1060 Main St
Hartford, CT 06111
Phone (860) 289-7771

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

640 Concord Ave
Cambridge, MA 02138
Phone (617) 497-0600

3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1669746020",
    "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": "914-949-1199",
            "fax_number": "914-949-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 OAK GROVE AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-949-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.