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PARK AVENUE MEDICAL
NPI 1740546399
Internal Medicine in Wallingford, CT

Active since April 09, 2012CLIA 07D2048886 · Waiver
85 BARNES RD STE 202, WALLINGFORD, CT 06492(203) 309-0070(203) 309-0071 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Avenue Medical NPPES

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

PARK AVENUE MEDICAL (NPI 1740546399), doing business as Park Avenue Medical Llc, is a healthcare organization registered as an internal medicine in Wallingford, Connecticut and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Anace Said, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1740546399
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePARK AVENUE MEDICAL
Location Address85 BARNES RD STE 202Wallingford, CT 06492
Mailing Address85 Barnes Rd Ste 202Wallingford, CT 06492 · (203) 309-0070 · Fax (203) 309-0071
Phone(203) 309-0070
Fax(203) 309-0071
Organization SubpartNo
Authorized OfficialAnace SaidBusiness Owner · (203) 309-0070
Enumeration DateApril 9, 2012
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1740546399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 044791
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
85 BARNES RD STE 202, Wallingford, CT 06492
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Other Names 1

Former Legal Business NamePark Avenue Medical Llc

Other Identifiers 1

Medicaid008002162CT

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 07D2048886

Park Avenue Medical, LLC · Wallingford, CT
Active · expires Oct 24, 2026
CLIA Number07D2048886
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAnace Said MD
Laboratory Phone(203) 309-0070
Laboratory LocationPark Avenue Medical, LLC85 Barnes Rd, Suite 202, Wallingford, CT 06492
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

LAUREN MARY DEMPSEY APRN
Nurse Practitioner (Family)
85 BARNES RD STE 202
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 403-2937
URSULA L HOXIE APRN
Nurse Practitioner (Family)
85 BARNES RD STE 202
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 309-0070
DR. ANACE H SAID M.D.
Internal Medicine
85 BARNES RD STE 202
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 309-0070
ALEXANDRIA ROSE VISCOSI APRN
Nurse Practitioner (Family)
85 BARNES RD STE 202
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 309-0070

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 Medical's NPI number?

The NPI number for Park Avenue Medical is 1740546399. It was assigned to this organization in the NPPES registry on April 9, 2012. The provider was formerly known as Park Avenue Medical LLC.

Where is Park Avenue Medical located?

Park Avenue Medical is located at 85 Barnes Rd Ste 202, Wallingford, CT 06492. The listed phone number is (203) 309-0070.

What is Park Avenue Medical's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Park Avenue Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2048886) is associated with this NPI, valid through October 24, 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 Medical was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.