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PARK AVENUE CONCIERGE MEDICINE PC
NPI 1659627628
Specialist in New York, NY

Active since July 27, 2012CLIA 33D1003003 · Waiver
10 E 78TH ST, SUITE 1B, NEW YORK, NY 10075(212) 737-3136(212) 737-3481 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Avenue Concierge Medicine Pc NPPES

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

PARK AVENUE CONCIERGE MEDICINE PC (NPI 1659627628) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 19, 2026 and lists Joseph Mulvehill, Owner, as its authorized official.

NPPES Registry Identity

NPI1659627628
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARK AVENUE CONCIERGE MEDICINE PC
Location Address10 E 78TH ST, SUITE 1BNew York, NY 10075-1713
Mailing Address10 E 78th St, Suite 1bNew York, NY 10075-1713 · (212) 737-3136 · Fax (212) 737-3481
Phone(212) 737-3136
Fax(212) 737-3481
Organization SubpartNo
Authorized OfficialJoseph MulvehillOwner · (212) 737-3136
Enumeration DateJuly 27, 2012
✔ NPI 1659627628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 216111
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.
10 E 78TH ST, New York, NY 10075
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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 33D1003003

Park Avenue Concierge Medicine PC · New York, NY
Active · expires Aug 19, 2026
CLIA Number33D1003003
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorDr. Joseph Mulvehill
Laboratory Phone(212) 737-3136
Laboratory LocationPark Avenue Concierge Medicine PC127 East 61st Street - Gfl, New York, NY 10065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BARBARA APP
Registered Nurse (Psychiatric/Mental Health, Adult)
10 E 78TH ST, SUITE 2A
NEW YORK, NY 10075
New York County (917) 716-8862

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 Concierge Medicine PC's NPI number?

The NPI number for Park Avenue Concierge Medicine PC is 1659627628. It was assigned to this organization in the NPPES registry on July 27, 2012.

Where is Park Avenue Concierge Medicine PC located?

Park Avenue Concierge Medicine PC is located at 10 E 78th St Suite 1B, New York, NY 10075. The listed phone number is (212) 737-3136.

What is Park Avenue Concierge Medicine PC's specialty?

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

Does Park Avenue Concierge Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1003003) is associated with this NPI, valid through August 19, 2026. 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 Concierge Medicine PC was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.