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FIFTH AVENUE MEDICAL ASSOCIATES, LLC
NPI 1083069439
Clinic/Center - Health Service in New York, NY

Active since May 03, 2016
745 5TH AVE, SUITE 500, NEW YORK, NY 10151(646) 898-2037 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fifth Avenue Medical Associates, Llc NPPES

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

FIFTH AVENUE MEDICAL ASSOCIATES, LLC (NPI 1083069439), doing business as Beny J. Primm Medical Group, Llc, is a healthcare organization registered as a health service in New York, New York and active in the NPI registry since May 2016. The organization lists Charles Y Jin, Member, as its authorized official.

NPPES Registry Identity

NPI1083069439
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFIFTH AVENUE MEDICAL ASSOCIATES, LLC
Location Address745 5TH AVE, SUITE 500New York, NY 10151-0099
Mailing Address745 5th Ave, Suite 500New York, NY 10151-0099 · (646) 898-2037
Phone(646) 898-2037
Organization SubpartNo
Authorized OfficialCharles Y JinMember · (646) 898-2037
Enumeration DateMay 3, 2016
Last NPPES UpdateNovember 19, 2018
✔ NPI 1083069439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in NY · 101838
745 5TH AVE, New York, NY 10151
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Other Names 1

Former Legal Business NameBeny J. Primm Medical Group, Llc

Other Identifiers 1

Medicaid02216131NY

Other Providers at the Same Location NPPES 4

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

DR. JAMES LAWRENCE VERNA D.D.S.
Dentist (General Practice)
745 5TH AVE, SUITE 1405
NEW YORK, NY 10151
New York County (212) 753-0500
MRS. SUZANNE PERRIE RD
Dietitian, Registered
745 5TH AVE
NEW YORK, NY 10151
New York County (640) 470-6420
DR. ALEXANDER TSUI
Dentist (General Practice)
745 5TH AVE, SUITE 1405
NEW YORK, NY 10151
New York County (212) 753-0500
LORI SOTTILOTTA
Non-emergency Medical Transport (VAN)
745 5TH AVE
NEW YORK, NY 10151
New York County (585) 376-2800

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 Fifth Avenue Medical Associates, LLC's NPI number?

The NPI number for Fifth Avenue Medical Associates, LLC is 1083069439. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider was formerly known as Beny J. Primm Medical Group, LLC.

Where is Fifth Avenue Medical Associates, LLC located?

Fifth Avenue Medical Associates, LLC is located at 745 5th Ave Suite 500, New York, NY 10151. The listed phone number is (646) 898-2037.

What is Fifth Avenue Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Fifth Avenue Medical Associates, LLC was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.