Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

936 Fifth Ave Medical Office PLLC

Organization Medical Specialty Clinic/Center · NPI 1811843840

936 Fifth Ave Medical Office PLLC is a Medical Specialty Clinic/Center in New York, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

936 5th Ave Ste 1
New York, NY 10021-2653
Phone: (212) 774-7715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1811843840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Everett — Medical Director · (212) 774-7715
NPI enumeratedMarch 10, 2026
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address936 5th Ave Ste 1, New York, NY 10021-2653

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