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 1952575417

Park Avenue Sports Medicine & Rehabilitation PC is an Orthopaedic Surgery Physician in Forest Hills, 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.

See every abbreviation used in this directory →

Practice location Address checks out

110-45 Queens Blvd Ste 117
Forest Hills, NY 11375
Phone: (718) 575-5050
Fax: (718) 575-8541
Show map & directions

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 number1952575417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oskar Weg — Owner · (718) 575-5050
NPI enumeratedApril 16, 2008
Last updated in NPPESJune 5, 2008
Mailing address11045 Queens Blvd 117, Forest Hills, NY 11375-5519

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