PARK AVENUE ORAL & FACIAL SURGERY, P.C.
NPI 1396061891
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since April 09, 2010
970 PARK AVE, NEW YORK, NY 10028(212) 988-6725(212) 988-6726 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Oral & Facial Surgery, P.c. NPPES

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

PARK AVENUE ORAL & FACIAL SURGERY, P.C. (NPI 1396061891) is a healthcare organization registered as an oral and maxillofacial surgery in New York, New York and active in the NPI registry since April 2010. The organization maintains 2 additional practice locations and lists Ruben Cohen, President, as its authorized official.

NPPES Registry Identity

NPI1396061891
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePARK AVENUE ORAL & FACIAL SURGERY, P.C.
Location Address970 PARK AVENew York, NY 10028-0324
Mailing Address970 Park AveNew York, NY 10028-0324 · (212) 988-6725 · Fax (212) 988-6726
Fax(212) 988-6726
Organization SubpartNo
Authorized OfficialRuben CohenPresident · (212) 988-6725
Enumeration DateApril 9, 2010
Last NPPES UpdateJune 8, 2020
NPPES CertifiedJune 8, 2020
NPI 1396061891 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 · 053655
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.
970 PARK AVE, New York, NY 10028

Secondary Practice Locations 2

Location 1491 Hampton RdSouthampton, NY 11968-3004 · Phone (212) 988-6725 · Fax (212) 988-6726
Location 21175 Park AveNew York, NY 10128-1211 · Phone (212) 988-6725 · Fax (212) 988-6726

Other Identifiers 1

Medicaid02922883NY

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 2

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

Clinic/Center (Ambulatory Surgical)
970 PARK AVE
NEW YORK, NY 10028
Psychoanalyst
970 PARK AVE
NEW YORK, NY 10028

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 Oral & Facial Surgery, P.C.'s NPI number?

The NPI number for Park Avenue Oral & Facial Surgery, P.C. is 1396061891. It was assigned to this organization in the NPPES registry on April 9, 2010.

Where is Park Avenue Oral & Facial Surgery, P.C. located?

Park Avenue Oral & Facial Surgery, P.C. is located at 970 Park Ave, New York, NY 10028. The listed phone number is (212) 988-6725.

What is Park Avenue Oral & Facial Surgery, P.C.'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 Avenue Oral & Facial Surgery, P.C. was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.