PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC NPI 1003041583

Clinic/Center (Ambulatory Surgical) in New York, NY

NPI 1003041583 Organization Clinic/Center Ambulatory Surgical

About PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC

Park Avenue Facial And Reconstructive Surgery, Pllc is a provider established in New York, New York specializing in clinic/center (ambulatory surgical) . The NPI number of Park Avenue Facial And Reconstructive Surgery, Pllc is 1003041583 and was assigned on May 2009. The practitioner's primary taxonomy code is 261QA1903X with license number 156744 (NY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Steven J. Pearlman M.d. (Director/owner)

NPI

1003041583

Provider NamePARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC
Provider Location Address521 PARK AVE NEW YORK, NY 10065
Provider Mailing Address521 PARK AVE NEW YORK, NY 10065
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-27-2009
Last Update Date05-27-2009


Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical
License No.156744
License StateNY

Business Address

PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC
521 PARK AVE
NEW YORK, NY
ZIP 10065
Phone: (212) 223-8300
Fax: (212) 644-8655

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Mailing Address

PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC
521 PARK AVE
NEW YORK, NY
ZIP 10065
Phone: (212) 223-8300
Fax: (212) 644-8655



Authorized Official

Authorized Official NameDR. STEVEN J. PEARLMAN M.D.
Authorized Official TitleDIRECTOR/OWNER
Authorized Official Phone(212) 223-8300

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194736215DR. DAVID S. MENCHE M.D.
Individual
Specialist521 PARK AVE
NEW YORK, NY 10065
(718) 369-8043
1316024870DR. MAXIM TYORKIN M.D
Individual
Orthopaedic Surgery (Sports Medicine)521 PARK AVE
NEW YORK, NY 10065
(212) 731-2002
1033469135PARK EAST ORAL & MAXILLOFACIAL SURGERY PC
Organization
Dentist (Oral and Maxillofacial Surgery)521 PARK AVE
NEW YORK, NY 10065
(212) 593-2930
1093707036DR. SETH MARTIN BLACK DDS
Individual
Oral & Maxillofacial Surgery521 PARK AVE
NEW YORK, NY 10065
(212) 593-2930
1821230798DR. JEFFREY CHARLES SCHILDHORN M.D.
Individual
Orthopaedic Surgery521 PARK AVE #1
NEW YORK, NY 10065
(212) 980-1375
1740634450DR. HEDIEH SAMADI DDS
Individual
Dentist521 PARK AVE
NEW YORK, NY 10065
(212) 355-4777
1245773100JEFFREY CHARLES SCHILDHORN MD PLLC
Organization
Specialist521 PARK AVE SUITE 1
NEW YORK, NY 10065
(845) 706-8008
1376191825 REBECCA DELPHIN
Individual
Physician Assistant521 PARK AVE
NEW YORK, NY 10065
(212) 606-8150
1629480959DR. DANIEL P FEGHHI MD
Individual
Orthopaedic Surgery521 PARK AVE
NEW YORK, NY 10065
(862) 668-5061

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.