Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Park Avenue Maxillary & Mandibular Restorations PC

Organization Ambulatory Surgical Clinic/Center · NPI 1235532870

Park Avenue Maxillary & Mandibular Restorations PC provides Ambulatory Surgical Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

563 Park Ave
New York, NY 10065-7379 Not confirmed with CMS for 12 years — call before visiting
Phone: (212) 838-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 440777 (NY)

Record details

NPI number1235532870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pasquale Malpeso — President · (212) 838-0090
NPI enumeratedSeptember 26, 2014
Last updated in NPPESSeptember 26, 2014
Mailing address563 Park Ave, New York, NY 10065-7379

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