PARK 62 PERIO & PERIO-PROSTHESIS PC
NPI 1740737758
Specialist in New York, NY

Active since September 07, 2016
563 PARK AVE, NEW YORK, NY 10065(212) 838-0090 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About PARK 62 PERIO & PERIO-PROSTHESIS PC

This page provides the complete NPI Profile along with additional information for Park 62 Perio & Perio-prosthesis Pc, a provider established in New York, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1740737758 assigned on September 2016. The practitioner's primary taxonomy code is 174400000X with license number 440777 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. Park 62 Perio & Perio-prosthesis Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Pasquale Malpeso Dmd (President)

NPI
1740737758 Verify this NPI
Provider Name
PARK 62 PERIO & PERIO-PROSTHESIS PC
Entity Type
Organization
Location Address
563 PARK AVE NEW YORK, NY 10065
Location Phone
(212) 838-0090
Mailing Address
563 PARK AVE NEW YORK, NY 10065
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2016
Last Update Date
09-07-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
440777
License State
NY
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PASQUALE MALPESO DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(212) 838-0090

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
440777OTHER (01)NYTHE JOINT COMMISSION

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740737758, enumerated as an "organization" on September 07, 2016.

The provider is located at 563 PARK AVE NEW YORK, NY 10065 and the phone number is (212) 838-0090.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.