Parkway Medical Associate PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

172773 Issued in NY

Legal business name

PARKWAY MEDICAL ASSOCIATE PLLC

Practice address

1 Elm St
Tuckahoe, NY 10707-3925

Phone

(914) 337-0606

Fax

(914) 337-6778

NPI assigned

Jun 25, 2013

Last updated

Jun 25, 2013By 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. Young K Ro, M.DNPI 1700982055

Title

President

Phone

(914) 337-0606

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.

• Young Kyun Ro, MD

  • Internal Medicine Physician
  • Tuckahoe, NY
  • NPI 1700982055
  Authorized official Same address or phone

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1851731749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELM ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107073925",
            "telephone_number": "914-337-0606",
            "fax_number": "914-337-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELM ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107073925",
            "telephone_number": "914-337-0606",
            "fax_number": "914-337-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL ASSOCIATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "RO",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-337-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Tuckahoe, NY
• Providers in Tuckahoe, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.