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

Park Avenue Sports Medicine & Rehabilitation PC

Organization Orthopaedic Surgery Physician · NPI 1396919197

Park Avenue Sports Medicine & Rehabilitation PC is an Orthopaedic Surgery Physician in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

521 Park Ave Apt 1N
New York, NY 10065-8140
Phone: (212) 568-5000
Fax: (212) 755-3032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 169749 (NY)

Record details

NPI number1396919197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oskar Weg — Owner · (212) 568-5000
NPI enumeratedApril 14, 2008
Last updated in NPPESApril 14, 2008
Mailing address521 Park Ave Apt 1n, New York, NY 10065-8140

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