MAXILLOFACIAL SURGERY ON PARK PC
NPI 1588082069
Specialist in New York, NY

Active since April 02, 2014
563 PARK AVE, NEW YORK, NY 10065(212) 838-0090 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Maxillofacial Surgery On Park Pc NPPES

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

MAXILLOFACIAL SURGERY ON PARK PC (NPI 1588082069) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since April 2014. The organization lists Gregory Charles Chotkowski, President, as its authorized official.

NPPES Registry Identity

NPI1588082069
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMAXILLOFACIAL SURGERY ON PARK PC
Location Address563 PARK AVENew York, NY 10065-7379
Mailing Address563 Park AveNew York, NY 10065-7379 · (212) 838-0090
Organization SubpartNo
Authorized OfficialGregory Charles ChotkowskiPresident · (212) 838-0090
Enumeration DateApril 2, 2014
NPI 1588082069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 440777
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.
563 PARK AVE, New York, NY 10065

Other Identifiers 1

Other440777NY · The Joint Commission

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Dentist (Oral and Maxillofacial Surgery)
563 PARK AVE
NEW YORK, NY 10065
Clinic/Center (Radiology)
563 PARK AVE
NEW YORK, NY 10065
Specialist
563 PARK AVE
NEW YORK, NY 10065
Dentist (Oral and Maxillofacial Surgery)
563 PARK AVE
NEW YORK, NY 10065
Clinic/Center (Ambulatory Surgical)
563 PARK AVE
NEW YORK, NY 10065
Clinic/Center (Ambulatory Surgical)
563 PARK AVE
NEW YORK, NY 10065
Oral & Maxillofacial Surgery
563 PARK AVE
NEW YORK, NY 10065
Specialist
563 PARK AVE
NEW YORK, NY 10065

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 Maxillofacial Surgery On Park PC's NPI number?

The NPI number for Maxillofacial Surgery On Park PC is 1588082069. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is Maxillofacial Surgery On Park PC located?

Maxillofacial Surgery On Park PC is located at 563 Park Ave, New York, NY 10065. The listed phone number is (212) 838-0090.

What is Maxillofacial Surgery On Park PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Maxillofacial Surgery On Park PC was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.