Park Avenue Sports Medicine & Rehabilitation PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

169749 Issued in NY

Legal business name

PARK AVENUE SPORTS MEDICINE & REHABILITATION PC

Practice address

110-45 Queens Blvd
Suite 117
Forest Hills, NY 11375

Phone

(718) 575-5050

Fax

(718) 575-8541

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Oskar WegNPI 1336289073

Title

Owner

Phone

(718) 575-5050

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.

• Oskar Weg, MD

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1336289073
  NPD (past) Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1952575417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 QUEENS BLVD 117",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755519",
            "telephone_number": "715-575-5050",
            "fax_number": "718-575-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110-45 QUEENS BLVD",
            "address_2": "SUITE 117",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-575-5050",
            "fax_number": "718-575-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE SPORTS MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "WEG",
        "authorized_official_first_name": "OSKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-575-5050"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "169749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Papini, MSED
• Cheryl Paprocki, M.S.ED, SBL
• Kristine May B Parcon, D.P.T.
• Danielle Nicole Parente
• Elena Parhomchuk
• Milee Park-Coleman, L.AC.
• Sangchan Park
• Sun H. Park, DDS
• Yoon a Park, RN
• Parkway Anesthesia Associates, PLLC

• Orthopaedic Surgery Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.