Park Avenue Medical
NPI 1740546399ActiveOrganization· Internal Medicine· Wallingford, CT
Internal Medicine in Wallingford, Connecticut, registered in NPPES in April 2012. The authorized official on file is Anace Said, MD, Business Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740546399 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2012 |
| Last updated in NPPES | Jun 20, 2022 |
| Certified by provider | Jun 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 044791 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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