PARK AVENUE MEDICAL PLLC NPI 1003805219

NPI Information

NPI: 1003805219
Provider Name: PARK AVENUE MEDICAL PLLC
Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

Address:
451 PARK AVE S
FLOOR 2
NEW YORK, NY
ZIP 10016
Phone: (212) 779-0202
Get Directions

PARK AVENUE MEDICAL PLLC is a nuclear radiology radiology in New York, NY. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. PARK AVENUE MEDICAL PLLC NPI is 1003805219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

451 PARK AVE S
FLOOR 2
NEW YORK, NY
ZIP 10016-390
Phone: (212) 779-0202
Fax: (212) 779-1521

The provider's authorized official is Jose Rolando Sanchez-pe�a .
The authorized official title is President / Ceo and has the following contact phone number (212) 779-0202.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0904X	Radiology	Nuclear Radiology	202594	NEW YORK	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	202594	NEW YORK	X
3	2085U0001X	Radiology	Diagnostic Ultrasound	202594	NEW YORK	X
4	2085R0204X	Radiology	Vascular & Interventional Radiology	202594	NEW YORK	X
5	207R00000X	Internal Medicine		213773	NEW YORK	X
6	207RI0200X	Internal Medicine	Infectious Disease	213773	NEW YORK	X
7	207R00000X	Internal Medicine		158015	NEW YORK	X
8	207R00000X	Internal Medicine		136143	NEW YORK	X
9	207RG0300X	Internal Medicine	Geriatric Medicine	158015	NEW YORK	X
10	207RP1001X	Internal Medicine	Pulmonary Disease	158015	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00836824	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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