OrganizationActive
Park Avenue Endoscopy, PLLC
NPI 1669595385 · Endoscopy Clinic/Center · New York, NY
Park Avenue Endoscopy, PLLC is a Endoscopy Clinic/Center organization in New York, NY (NPI 1669595385).
Provider details
- NPI number
- 1669595385
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wellington Tichenor, Owner(212) 517-6611
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
642 Park Avenue
New York, NY 10021-6105
Phone: (212) 517-6611
Fax: (212) 517-2132
Street-level locationGet directions
Mailing address
642 Park Ave
New York, NY 10065-6105
Other names (DBA / former)
- Other name
- Wellington S. Tichenor, M.D.
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2012-07-10
Frequently asked questions
- What is Park Avenue Endoscopy, PLLC's NPI number?
- Park Avenue Endoscopy, PLLC's National Provider Identifier (NPI) is 1669595385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Avenue Endoscopy, PLLC?
- Park Avenue Endoscopy, PLLC is classified in the NPPES registry as Endoscopy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Park Avenue Endoscopy, PLLC located?
- Park Avenue Endoscopy, PLLC's practice location on file with NPPES is 642 Park Avenue, New York, NY 10021-6105.
- What is Park Avenue Endoscopy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Park Avenue Endoscopy, PLLC is (212) 517-6611.
- Who is the authorized official for Park Avenue Endoscopy, PLLC?
- The authorized official listed on Park Avenue Endoscopy, 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 Endoscopy, PLLC's NPI active?
- Yes — Park Avenue Endoscopy, PLLC's NPI (1669595385) is active in the NPPES registry as of the last update on 2012-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.