Organization Active NPI

Park Madison Labs at Choices

  • Clinical Medical Laboratory
  • New York, NY
National Provider Identifier
1801925623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PARK MADISON LABS AT CHOICES
Doing business as
Park Madison Labs at Choices
Practice address
133 E 73Rd St
At Choices
New York, NY 10021-3556
Phone
(212) 628-7900
Fax
(212) 628-7950
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tim DresslerNPI 1376703835
Title
Director
Phone
(212) 628-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NY Primary

Addresses

Primary practice location

133 E 73Rd St
At Choices
New York, NY 10021-3556

Mailing address

133 E 73Rd St
At Choices
New York, NY 10021-3556
Phone (212) 628-7900

Other identifiers 1

IdentifierTypeStateIssuer
02166892MedicaidNY

Other names 1

  • Park Madison Labs at Choices Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At ASC Brooklyn3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801925623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 73RD ST",
            "address_2": "AT CHOICES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213556",
            "telephone_number": "212-628-7900",
            "fax_number": "212-628-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 73RD ST",
            "address_2": "AT CHOICES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213556",
            "telephone_number": "212-628-7900",
            "fax_number": "212-628-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MADISON LABS AT CHOICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRESSLER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-628-7900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02166892",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Madison Labs at Choices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • 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.