Park Avenue Medical Office, PLLC
NPI 1013568435 · Allergy & Immunology (Internal Medicine) Physician · New York, NY
Park Avenue Medical Office, PLLC is a Allergy & Immunology (Internal Medicine) Physician organization in New York, NY (NPI 1013568435).
Provider details
- NPI number
- 1013568435
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wellington Tichenor, Owner(212) 517-6611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-26
- Last updated
- 2019-09-26
Frequently asked questions
- What is Park Avenue Medical Office, PLLC's NPI number?
- Park Avenue Medical Office, PLLC's National Provider Identifier (NPI) is 1013568435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Avenue Medical Office, PLLC?
- Park Avenue Medical Office, PLLC is classified in the NPPES registry as Allergy & Immunology (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Park Avenue Medical Office, PLLC located?
- Park Avenue Medical Office, PLLC's practice location on file with NPPES is 642 Park Ave, New York, NY 10065-6105.
- What is Park Avenue Medical Office, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Park Avenue Medical Office, PLLC is (212) 517-6611.
- Who is the authorized official for Park Avenue Medical Office, PLLC?
- The authorized official listed on Park Avenue Medical Office, PLLC's NPPES record is Wellington Tichenor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Avenue Medical Office, PLLC's NPI active?
- Yes — Park Avenue Medical Office, PLLC's NPI (1013568435) is active in the NPPES registry as of the last update on 2019-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.