Fifth Avenue Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

002497 Issued in NY

Legal business name

FIFTH AVENUE CENTER

Practice address

10 E 21St St
Floor 7
New York, NY 10010-7108

Phone

(212) 989-2990

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By 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

Mr. Jerry Webber, LMHC

Title

Clinic Director

Phone

(212) 989-2990

Specialties & licenses 1

Addresses

Tax ID family

Fifth Avenue Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fifth Avenue Center for Counseling and Psychotherapy, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1942448527
  NPD tax ID

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760406912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E 84TH ST",
            "address_2": "APT. 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284443",
            "telephone_number": "917-750-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 21ST ST",
            "address_2": "FLOOR 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107108",
            "telephone_number": "212-989-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "212-989-2990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "002497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fifth Ave Medical PLLC
• Fifth Ave Plastic Surgery PC
• Fifth Ave Podiatric Surgery Suite
• Fifth Avenue Acup Health Inc
• Fifth Avenue Anesthesia Associates, PC
• Fifth Avenue Center for Counseling and Psychotherapy, Inc.
• Fifth Avenue Medical Associates, LLC
• Fifth Avenue Medical Healthcare PC
• Fifth Avenue Medical Operatory
• Fifth Avenue Medical Services, P.C.

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.