Park Ave Podiatric Foot Surgery Suite

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

CERT# 436684 Issued in NY

Legal business name

PARK AVE PODIATRIC FOOT SURGERY SUITE

Practice address

133 E 54TH St
Ste 2a
New York, NY 10022-4538

Phone

(212) 759-9090

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Howard Shapiro, D.P.M.

Title

Medical Director

Phone

(212) 759-9090

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1861939589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST",
            "address_2": "STE 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "212-759-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 54TH ST",
            "address_2": "STE 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224538",
            "telephone_number": "212-759-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE PODIATRIC FOOT SURGERY SUITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-759-9090",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "CERT# 436684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION",
            "identifier": "436684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park 71 Plastic Surgery PC
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• Park Ambulatory Surgery PC
• Park Ave Maxillofacial Surgery PC
• Park Ave Pediatric Dental Office
• Park Ave Reconstructive LLC
• Park Ave.Footcare Obs LLC
• Park Avenue Acoustics, Inc.
• Park Avenue Acupuncture P.C.
• Park Avenue Adult Day Care Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.