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

Park Avenue Medical Group, PC

Organization Internal Medicine Physician · NPI 1417058348

Park Avenue Medical Group, PC provides Internal Medicine Physician services in New York, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Park Ave
New York, NY 10016-4348 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 685-5957
Fax: (212) 685-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1417058348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Cheng — Vice President · (212) 685-5957
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJune 26, 2008
Mailing address15 Park Ave, Mbx 16b, New York, NY 10016-4348

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