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PARK EAST ORAL & MAXILLOFACIAL SURGERY PC
NPI 1033469135
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since September 15, 2012
521 PARK AVE, NEW YORK, NY 10065(212) 593-2930(212) 593-2931 Get Directions Write a Review

NPPES record last updated: September 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Park East Oral & Maxillofacial Surgery Pc NPPES

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

PARK EAST ORAL & MAXILLOFACIAL SURGERY PC (NPI 1033469135) is a healthcare organization registered as an oral and maxillofacial surgery in New York, New York and active in the NPI registry since September 2012. The organization lists Seth Martin Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1033469135
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePARK EAST ORAL & MAXILLOFACIAL SURGERY PC
Location Address521 PARK AVENew York, NY 10065-8140
Mailing Address521 Park AveNew York, NY 10065-8140 · (212) 593-2930 · Fax (212) 593-2931
Phone(212) 593-2930
Fax(212) 593-2931
Organization SubpartNo
Authorized OfficialSeth Martin BlackOwner · (212) 593-2930
Enumeration DateSeptember 15, 2012
✔ NPI 1033469135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 033118
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
521 PARK AVE, New York, NY 10065
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Other Identifiers 2

Medicaid0707035NY
Medicare PIND2D231NY

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

Other Providers at the Same Location NPPES 8

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

PARK AVENUE FACIAL AND RECONSTRUCTIVE SURGERY, PLLC
Clinic/Center (Ambulatory Surgical)
521 PARK AVE
NEW YORK, NY 10065
New York County (212) 223-8300
DR. DAVID S. MENCHE M.D.
Specialist
521 PARK AVE
NEW YORK, NY 10065
New York County (718) 369-8043
JEFFREY CHARLES SCHILDHORN MD PLLC
Specialist
521 PARK AVE, SUITE 1
NEW YORK, NY 10065
New York County (845) 706-8008
DR. MAXIM TYORKIN M.D
Orthopaedic Surgery (Sports Medicine)
521 PARK AVE
NEW YORK, NY 10065
New York County (212) 731-2002
REBECCA DELPHIN
Physician Assistant
521 PARK AVE
NEW YORK, NY 10065
New York County (212) 606-8150
PARK AVENUE EAST MEDICAL SUITES PLLC
Surgery (Plastic and Reconstructive Surgery)
521 PARK AVE
NEW YORK, NY 10065
New York County (212) 779-2787
DR. HEDIEH SAMADI DDS
Dentist
521 PARK AVE
NEW YORK, NY 10065
New York County (212) 355-4777
DR. JEFFREY CHARLES SCHILDHORN M.D.
Orthopaedic Surgery
521 PARK AVE, #1
NEW YORK, NY 10065
New York County (212) 980-1375

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 East Oral & Maxillofacial Surgery PC's NPI number?

The NPI number for Park East Oral & Maxillofacial Surgery PC is 1033469135. It was assigned to this organization in the NPPES registry on September 15, 2012.

Where is Park East Oral & Maxillofacial Surgery PC located?

Park East Oral & Maxillofacial Surgery PC is located at 521 Park Ave, New York, NY 10065. The listed phone number is (212) 593-2930.

What is Park East Oral & Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Park East Oral & Maxillofacial Surgery PC was last updated on September 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.