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

Park West Medical Associate PLLC

Organization Clinic/Center · NPI 1376879049

Park West Medical Associate PLLC provides Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 W 84th St 1J
New York, NY 10024-4703 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 362-3020
Fax: (212) 362-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 180533 (NY)

Record details

NPI number1376879049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Obunike Edokwe — Owner · (917) 940-2386
NPI enumeratedOctober 30, 2009
Last updated in NPPESFebruary 18, 2016
Mailing address15 W 84th St, 1j, New York, NY 10024-4703

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