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PARK AVENUE AESTHETIC SURGERY, PC
NPI 1669818324
Specialist in New York, NY

Active since May 21, 2013
461 PARK AVE S FL 7, NEW YORK, NY 10016(212) 206-6465(212) 255-2132 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Aesthetic Surgery, Pc NPPES

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

PARK AVENUE AESTHETIC SURGERY, PC (NPI 1669818324) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since May 2013. The organization lists Matt Dallmann, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1669818324
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARK AVENUE AESTHETIC SURGERY, PC
Location Address461 PARK AVE S FL 7New York, NY 10016-6822
Mailing Address461 Park Ave S Fl 7New York, NY 10016-6822 · (212) 206-6465 · Fax (212) 255-2132
Phone(212) 206-6465
Fax(212) 255-2132
Organization SubpartNo
Authorized OfficialMatt DallmannBilling Manager · (212) 206-6465
Enumeration DateMay 21, 2013
✔ NPI 1669818324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 183561
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.
461 PARK AVE S FL 7, New York, NY 10016
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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

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

PAULA SHUSTER NP
Nurse Practitioner (Psychiatric/Mental Health)
461 PARK AVE S FL 7
NEW YORK, NY 10016
New York County (973) 769-2782

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 Aesthetic Surgery, PC's NPI number?

The NPI number for Park Avenue Aesthetic Surgery, PC is 1669818324. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Park Avenue Aesthetic Surgery, PC located?

Park Avenue Aesthetic Surgery, PC is located at 461 Park Ave S Fl 7, New York, NY 10016. The listed phone number is (212) 206-6465.

What is Park Avenue Aesthetic Surgery, 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 Park Avenue Aesthetic Surgery, PC was last updated on May 21, 2013. 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.