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PARK AVENUE MEDICAL PROFESSIONALS
NPI 1023044161
Specialist in New York, NY

Active since June 23, 2006CLIA 33D2197207 · Waiver
120 E 86TH ST, 2ND FLOOR, NEW YORK, NY 10028(212) 427-2000(212) 427-2008 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Medical Professionals NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK AVENUE MEDICAL PROFESSIONALS (NPI 1023044161) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists David Howard Berman, Ceo, Owner, as its authorized official.

NPPES Registry Identity

NPI1023044161
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARK AVENUE MEDICAL PROFESSIONALS
Location Address120 E 86TH ST, 2ND FLOORNew York, NY 10028-1062
Mailing Address120 E 86th St, 2nd FloorNew York, NY 10028-1062 · (212) 427-2000 · Fax (212) 427-2008
Phone(212) 427-2000
Fax(212) 427-2008
Organization SubpartNo
Authorized OfficialDavid Howard BermanCeo, Owner · (212) 427-2000
Enumeration DateJune 23, 2006
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1023044161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 222732
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
120 E 86TH ST, New York, NY 10028
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2197207

Park Avenue Medical Professionals PC Path Lab · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2197207
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Miroslav R. Radevic
Laboratory Phone(212) 427-3305
Laboratory LocationPark Avenue Medical Professionals PC Path Lab120 East 86th Street Fl2, New York, NY 10028
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BONNIE ROBIN ARONOWITZ PH.D.
Psychologist (Clinical)
120 E 86TH ST, #4A
NEW YORK, NY 10028
New York County (212) 348-3122
DEBORAH SHAMILOV NURSE PRACTITIONER
Nurse Practitioner
120 E 86TH ST
NEW YORK, NY 10028
New York County (856) 308-0297
DR. CHARLES SAHA M.D
Internal Medicine (Gastroenterology)
120 E 86TH ST, SECOND FLOOR
NEW YORK, NY 10028
New York County (212) 427-2000
DR. AKIFA SAMDANI M.D
Internal Medicine (Sports Medicine)
120 E 86TH ST, SECOND FLOOR
NEW YORK, NY 10028
New York County (212) 427-2000
DR. MONIKA S BOGAL M.D.
Internal Medicine (Cardiovascular Disease)
120 E 86TH ST
NEW YORK, NY 10028
New York County (212) 427-2000
PARK AVENUE TOTAL MEDICAL CARE
Anesthesiology
120 E 86TH ST, 2ND FLOOR
NEW YORK, NY 10028
New York County (212) 427-2000
DR. DAVID HOWARD BERMAN M.D.
Internal Medicine (Gastroenterology)
120 E 86TH ST, 2ND FLOOR
NEW YORK, NY 10028
New York County (212) 427-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Avenue Medical Professionals's NPI number?

The NPI number for Park Avenue Medical Professionals is 1023044161. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Park Avenue Medical Professionals located?

Park Avenue Medical Professionals is located at 120 E 86th St 2nd Floor, New York, NY 10028. The listed phone number is (212) 427-2000.

What is Park Avenue Medical Professionals's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Park Avenue Medical Professionals hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2197207) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Avenue Medical Professionals was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.