Park Avenue Health Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0777 Issued in MA

Legal business name

PARK AVENUE HEALTH CENTER, LLC

Practice address

146 Park Ave
Arlington, MA 02476-5829

Phone

(732) 710-4431

NPI assigned

May 13, 2014

Last updated

Jun 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avi Lipschutz

Title

Ceo

Phone

(732) 710-4431

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1710398797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PARK AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PARK AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765829",
            "telephone_number": "732-710-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "LIPSCHUTZ",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-710-4431"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petrece Marie Palmese, RPH
• David Pangburn, M.D.
• Hannah Paoletti, MS, RD, LDN
• Kenneth William Pappaconstantinou II
• Wendy Berman Paramore, MSW, LICSW
• Park Avenue Nursing & Rehabilitation Center Inc (Park Avenue Nursing & Rehabilitation Center)
• Park Avenue SNF Opco LLC (Park Avenue Health Care Center)
• Park Avenue SNF Operations LLC (Park Avenue Health Center)
• Juliana Parker, LMHC
• Melissa Parker

• Skilled Nursing Facility in Arlington, MA
• Providers in Arlington, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.