Provider Demographics
NPI:1821560905
Name:CENTRAL PARK RPN
Entity Type:Organization
Organization Name:CENTRAL PARK RPN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:347-526-0259
Mailing Address - Street 1:483 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2945
Mailing Address - Country:US
Mailing Address - Phone:347-526-0259
Mailing Address - Fax:
Practice Address - Street 1:590 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2524
Practice Address - Country:US
Practice Address - Phone:212-521-4122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-29
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty