Park Avenue Medical Family Practice & Geriatrics, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

148454 Issued in NY

Legal business name

PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC

Practice address

102 Park Ave
Yonkers, NY 10703-2934

Phone

(914) 965-4300

Fax

(914) 965-7625

NPI assigned

Mar 27, 2008

Last updated

Sep 6, 2019By 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

Mr. Aaron Felder, MANAGER

Title

Office Manager

Phone

(914) 965-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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.

• Ashley Sayegh

  • Family Nurse Practitioner
  • Yonkers, NY
  • NPI 1356107304
  Medicare reassignment NPD
• Christian James Sayegh, PA-C

  • Medical Physician Assistant
  • Elmsford, NY
  • NPI 1265204010
  Medicare reassignment
• Nasem James Sayegh, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Yonkers, NY
  • NPI 1720043920
  Medicare reassignment

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1912179110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032934",
            "telephone_number": "914-965-4300",
            "fax_number": "914-965-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032934",
            "telephone_number": "914-965-4300",
            "fax_number": "914-965-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-965-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "148454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01019209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil R Parekh, MD
• Siddhant Parihar
• Vanessa Lee Paris, RN
• Park Avenue Dentistry of Yonkers (Park Avenue Smiles)
• Park Avenue Medical Family & Geriatrics,P.C.
• Park Avenue Podiatry, LLC
• Park Central Health Care Chiropractic
• Park Hill Emergency Physician Services
• Park Hill Optical, Inc (Envisage)
• Grace Eunhye Park, PHARM. D.

• Primary Care Clinic/Center in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.