Park Avenue Clinic, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA07547100 Issued in NJ

Legal business name

PARK AVENUE CLINIC, PC

Practice address

109 Park Ave
Paterson, NJ 07501-2328

Phone

(973) 380-0690

Fax

(917) 915-4227

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Adam Hamawy, MDNPI 1205015617

Title

Owner

Phone

(609) 722-7130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Hisham Hamawy, M.D.

  • Plastic Surgery Physician
  • Princeton, NJ
  • NPI 1205015617
  NPD Authorized official

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1871099697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012328",
            "telephone_number": "917-915-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012328",
            "telephone_number": "973-380-0690",
            "fax_number": "917-915-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "HAMAWY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-722-7130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07547100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parent Association LLC
• Jasmit Parihar
• Abhi Biren Parikh
• Sara Parisi, LCSW
• Park Ave Drugs LLC
• Park Dental New Jersey PC
• Park Medico Center
• Ha Rin Park
• Parkview Pediatric Group, P.C.
• Parkway Med Urgent Care PC

• Plastic Surgery Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Plastic Surgery Physician in New Jersey

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