Park 62 Perio & Perio-Prosthesis PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

440777 Issued in NY

Legal business name

PARK 62 PERIO & PERIO-PROSTHESIS PC

Practice address

563 Park Ave
New York, NY 10065-7379

Phone

(212) 838-0090

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By 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

Pasquale Malpeso, DMDNPI 1073647772

Title

President

Phone

(212) 838-0090

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Pasquale J Malpeso, D.M.D.

  • Oral and Maxillofacial Pathology Dentistry
  • New York, NY
  • NPI 1073647772
  Authorized official Same address or phone

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1740737758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657379",
            "telephone_number": "212-838-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK 62 PERIO & PERIO-PROSTHESIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "MALPESO",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-838-0090",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "440777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pariss Medical PLLC
• Park 34 Medical Associates PC
• Park 55 Medical Associates, P.C.
• Park 56 Dental Group P.C.
• Park 62 Oral Facial Surgery P.C.
• Park 76 Hearing LLC
• Park Ambulatory Surgery PC
• Park Ave Maxillofacial Surgery PC
• Park Ave Pediatric Dental Office
• Park Ave Podiatric Foot Surgery Suite

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.