- Practice location
- 936 5TH Ave Ste 1, New York, NY 10021-2653
- Phone
- 212-774-7715
- Fax
- —
- Last updated
- March 10, 2026
936 Fifth Ave Medical Office PLLC is a healthcare organization based in New York, NY. 936 Fifth Ave Medical Office PLLC practices in New York, NY. The NPI Number for 936 Fifth Ave Medical Office PLLC is 1811843840. The current practice location address for 936 Fifth Ave Medical Office PLLC is 936 5TH Ave Ste 1, New York, NY 10021-2653 and can be reached out via phone at 212-774-7715.
Provider Profile Details
- NPI Number
- 1811843840
- Provider Name
- 936 Fifth Ave Medical Office PLLC
- Provider Entity Type
- Organization
- Address
- 936 5TH Ave Ste 1, New York, NY 10021-2653
- Phone Number
- 212-774-7715
- Primary Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X
- Organization Subpart
- No
- Authorized Official
- Dr. Marc Everett, MD · Medical Director · 212-774-7715
- Provider Enumeration Date
- March 10, 2026
- Last Update Date
- March 10, 2026
- Certification Date
- March 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 936 5TH Ave Ste 1
New York, NY 10021-2653 - City
- New York
- State
- New York
- Zip
- 10021-2653
- Phone Number
- 212-774-7715
Provider Business Mailing Address Details
- Address
- 936 5TH Ave Ste 1
New York, NY 10021-2653 - City
- New York
- State
- NY
- Zip
- 10021-2653
- Phone Number
- 212-774-7715
License Information
- Taxonomy
- Clinic/Center, Medical Specialty · 261QM2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 936 Fifth Ave Medical Office PLLC?
The NPI number of 936 Fifth Ave Medical Office PLLC is 1811843840. It was assigned on March 10, 2026 and is currently active in the NPPES registry.
What is the specialty of 936 Fifth Ave Medical Office PLLC?
936 Fifth Ave Medical Office PLLC is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X).
Where does 936 Fifth Ave Medical Office PLLC practice?
The practice location is 936 5TH Ave Ste 1, New York, NY 10021-2653. The office can be reached at 212-774-7715 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811843840 directly on the NPPES registry website.