PARK AVENUE ENDOCRINOLOGY & NUTRITION PLLC – NPI #1952781353
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

PARK AVENUE ENDOCRINOLOGY & NUTRITION PLLC is a provider located in NEW YORK, NY. NPPES has assigned the NPI number 1952781353 to PARK AVENUE ENDOCRINOLOGY & NUTRITION PLLC on June 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 2 years ago on Dec 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK AVENUE ENDOCRINOLOGY & NUTRITION PLLC below.

NPI Profile for
PARK AVENUE ENDOCRINOLOGY & NUTRITION PLLC

NPI Number
1952781353
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK AVENUE ENDOCRINOLOGY & NUTRITION PLLC
Primary location
103 E 75TH ST
NEW YORK, NY 10021-2805
Phone: (212) 772-7628 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLIFTON JACKNESS
OWNER
Phone: (347) 452-3571
Updated
Certification Date
Dec 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.