OrganizationActive
Park Avenue Ambulatory Medical PC
NPI 1609265016 · Ambulatory Surgical Clinic/Center · New York, NY
Provider details
- NPI number
- 1609265016
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Atlantic Spine Center LLC
- Organization subpart
- Yes
- Authorized official
- Kaixuan Liu, President(973) 419-0200
- License
- 2205381 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1045 Park Ave
New York, NY 10028-1030
Phone: (973) 419-0200
Fax: (973) 419-0244
Street-level locationGet directions
Mailing address
1045 Park Ave
New York, NY 10028-1030
Registry dates
- Enumerated
- 2015-01-22
- Last updated
- 2015-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.