Park Avenue Medicl Associates P.L.L.C

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

158015-1 Issued in NY

Legal business name

PARK AVENUE MEDICL ASSOCIATES P.L.L.C

Practice address

1974 1St Ave
New York, NY 10029-6430

Phone

(212) 779-0202

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose Sanchez Pena, M.D.NPI 1316911282

Title

Owner

Phone

(212) 779-0202

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jose R Sanchez-Pena, M.D.

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1316911282

  Pulmonary Disease

  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1730277302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296430",
            "telephone_number": "212-779-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296430",
            "telephone_number": "212-779-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICL ASSOCIATES P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ PENA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-779-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "158015-1",
            "primary": true
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "NY",
            "license": "158015-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Medical Office, PLLC
• Park Avenue Medical PLLC
• Park Avenue Medical Professionals
• Park Avenue Medical Suite
• Park Avenue Medical Weight and Wellness P.C.
• Park Avenue OB/GYN P.C
• Park Avenue Obs
• Park Avenue Office Based Podiatric Surgery PC
• Park Avenue Optometry PLLC (Eyes On Park)
• Park Avenue Oral & Facial Surgery, P.C.

• Pulmonary Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.