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

Park Avenue Medical Weight and Wellness PC

Organization Internal Medicine Physician · NPI 1831383421

Park Avenue Medical Weight and Wellness PC provides Internal Medicine Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

983 Park Ave
New York, NY 10028-0808 Not confirmed with CMS for 16 years — call before visiting
Phone: (212) 288-6780
Fax: (212) 918-9296
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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 · Licence 240970 (NY)

Record details

NPI number1831383421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Kane — President · (212) 288-6780
NPI enumeratedAugust 28, 2007
Last updated in NPPESDecember 15, 2009
Mailing address983 Park Ave, New York, NY 10028-0808

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