Park Square Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

236127 Issued in NY

Legal business name

PARK SQUARE MEDICAL PC

Practice address

51 E 25TH St FL 4
New York, NY 10010-8210

Phone

(212) 686-0066

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Michael Ghalchi

Title

President

Phone

(212) 686-0066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1699120634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 25TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 25TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108210",
            "telephone_number": "212-686-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SQUARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "GHALCHI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-686-0066"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Smiles Dental PLLC Dba Park Smiles Nyc
• Park Smiles Dental PLLC Dba Park Smiles West
• Park South Physical Therapy Group PC
• Park South Podiatry LLC
• Park South Psychotherapy, LCSW, LLC
• Park Therapy LCSW, PLLC
• Park Urologic, PC
• Park View Dental P.C.
• Park West Dental PC
• Park West Medical Associate PLLC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.