PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC
NPI 1912179110
Clinic/Center - Primary Care in Yonkers, NY

Active since March 27, 2008
102 PARK AVE, YONKERS, NY 10703(914) 965-4300(914) 965-7625 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Park Avenue Medical Family Practice & Geriatrics, Pc NPPES

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

PARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC (NPI 1912179110) is a healthcare organization registered as a primary care in Yonkers, New York and active in the NPI registry since March 2008. The organization lists Aaron Felder, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912179110
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePARK AVENUE MEDICAL FAMILY PRACTICE & GERIATRICS, PC
Location Address102 PARK AVEYonkers, NY 10703-2934
Mailing Address102 Park AveYonkers, NY 10703-2934 · (914) 965-4300 · Fax (914) 965-7625
Fax(914) 965-7625
Organization SubpartNo
Authorized OfficialAaron FelderOffice Manager · (914) 965-4300
Enumeration DateMarch 27, 2008
Last NPPES UpdateSeptember 6, 2019
✔ NPI 1912179110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 148454
102 PARK AVE, Yonkers, NY 10703

Other Identifiers 1

Medicaid01019209NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Park Avenue Medical Family Practice & Geriatrics, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Park Avenue Medical Family Practice & Geriatrics, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1720043920
102 PARK AVE
Yonkers, NY 10703
(914) 965-4300
✔ PECOSSame address
Nurse Practitioner
NPI 1356107304
967 N BROADWAY YONKERS
Yonkers, NY 10701
(914) 798-8956
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Practice & Geriatrics, PC's NPI number?

The NPI number for Park Avenue Medical Family Practice & Geriatrics, PC is 1912179110. It was assigned to this organization in the NPPES registry on March 27, 2008.

Where is Park Avenue Medical Family Practice & Geriatrics, PC located?

Park Avenue Medical Family Practice & Geriatrics, PC is located at 102 Park Ave, Yonkers, NY 10703. The listed phone number is (914) 965-4300.

What is Park Avenue Medical Family Practice & Geriatrics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Park Avenue Medical Family Practice & Geriatrics, PC enrolled in Medicare?

Yes. Park Avenue Medical Family Practice & Geriatrics, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Avenue Medical Family Practice & Geriatrics, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Park Avenue Medical Family Practice & Geriatrics, PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Park Avenue Medical Family Practice & Geriatrics, PC was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.