Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Park Medical Practice

Organization Specialist · NPI 1396901468

Central Park Medical Practice provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

134 W 58th Street SUITE102
New York, NY 10019 Not confirmed with CMS for 18 years — call before visiting
Phone: (212) 974-0490
Fax: (212) 974-0493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 245082 (NY)

Record details

NPI number1396901468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shahnoz Rustamova — Md · (212) 974-0490
NPI enumeratedJuly 29, 2008
Last updated in NPPESJuly 29, 2008
Mailing address134 West, 58th Street, Suite 102, New York, NY 10019

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