Park Avenue Maxillary & Mandibular Restoration PC
NPI 1457656381 · Ambulatory Surgical Clinic/Center · New York, NY
Park Avenue Maxillary & Mandibular Restoration PC is a Ambulatory Surgical Clinic/Center organization in New York, NY (NPI 1457656381).
Provider details
- NPI number
- 1457656381
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Ponce, Office Supervisor(212) 838-0090
- License
- 0386071 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-01-25
- Last updated
- 2011-01-25
Frequently asked questions
- What is Park Avenue Maxillary & Mandibular Restoration PC's NPI number?
- Park Avenue Maxillary & Mandibular Restoration PC's National Provider Identifier (NPI) is 1457656381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Avenue Maxillary & Mandibular Restoration PC?
- Park Avenue Maxillary & Mandibular Restoration PC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Park Avenue Maxillary & Mandibular Restoration PC located?
- Park Avenue Maxillary & Mandibular Restoration PC's practice location on file with NPPES is 563 Park Ave, New York, NY 10065-7379.
- What is Park Avenue Maxillary & Mandibular Restoration PC's phone number?
- The practice phone number listed in the NPPES registry for Park Avenue Maxillary & Mandibular Restoration PC is (212) 838-0090.
- Who is the authorized official for Park Avenue Maxillary & Mandibular Restoration PC?
- The authorized official listed on Park Avenue Maxillary & Mandibular Restoration PC's NPPES record is Patricia Ponce, Office Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Avenue Maxillary & Mandibular Restoration PC's NPI active?
- Yes — Park Avenue Maxillary & Mandibular Restoration PC's NPI (1457656381) is active in the NPPES registry as of the last update on 2011-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.