Park Avenue Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045246 Issued in NY

Legal business name

PARK AVENUE DENTAL GROUP

Practice address

37 Park Avenue
(Suite a)
New York, NY 10016

Phone

(212) 951-7104

Fax

(212) 951-7105

NPI assigned

May 9, 2007

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

Dr. Aptin Ghods, DDS

Title

Dentist

Phone

(212) 951-7104

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770797771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARK AVENUE",
            "address_2": "(SUITE A)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-951-7104",
            "fax_number": "212-951-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK AVENUE",
            "address_2": "(SUITE A)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-951-7104",
            "fax_number": "212-951-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHODS",
        "authorized_official_first_name": "APTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-951-7104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01521833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Comprehensive Medical
• Park Avenue Concierge Medicine PC
• Park Avenue Dental Anesthesia Services PC
• Park Avenue Dental Associates, P.C.
• Park Avenue Dental Boutique, L.L.C.
• Park Avenue Dermatology & Plastic Surgery LLP
• Park Avenue Dermatology Associates, PC
• Park Avenue Dialysis Center LLC
• Park Avenue East Medical Suites PLLC
• Park Avenue Endocrinology & Nutrition PLLC

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry 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.