936 Fifth Ave Medical Office PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

936 FIFTH AVE MEDICAL OFFICE PLLC

Practice address

936 5TH Ave Ste 1
New York, NY 10021-2653

Phone

(212) 774-7715

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By 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. Marc Everett, MDNPI 1619258886

Title

Medical Director

Phone

(212) 774-7715

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Marc Everett, MD

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1619258886
  NPD Authorized official
• Ruya Zhao, MD

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1295297067
  NPD (past)

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1811843840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 5TH AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212653",
            "telephone_number": "212-774-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 5TH AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212653",
            "telephone_number": "212-774-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "936 FIFTH AVE MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-774-7715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 950 Park Avenue Plastic Surgery, P.L.L.C.
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• 98 Park Medical PC
• 99 Fort Washington Houses Services for the Eldery

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.