DR. RICHARD PARK (NPI# 1114985298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114985298 |
| Entity Type | Individual |
| Full Name | DR. RICHARD PARK |
| Credential | MD |
| Practice Address |
175 Community Dr Great Neck NY 11021-5502 |
| Mailing Address |
Lijmc-dept of Emergency Medicine 270-05 76th Avenue New Hyde Park NY 11040 |
| Practice Telephone | 5164651900 |
| Practice Fax Number | 5164651830 |
| Mailing Telephone | 7184707500 |
| Mailing Fax Number | 7183477849 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 224603 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518525054 | Richard Park | Dentist | 6942 Lindner Dr, Franklin, WI 53132-8904 | 2019-05-30 |
| 1407125164 | Richard Kyungho Park | Otolaryngology | 331 Skidder Trl, Truckee, CA 96161-3931 | 2011-12-23 |
| 1154349132 | Richard Park | Family Medicine | 703 W Martin, Ms 49-2, San Antonio, TX 78207-3110 | 2006-07-17 |
| 1982694410 | Richard Eldon Park | Anesthesiology | 565 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2005-10-26 |
| 1306843669 | Richard I. Park | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2005-07-01 |
| 1306369160 | Richard Park | Marriage & Family Therapist | 1136 S Delano Ct W Ste B201, Chicago, IL 60605 | 2017-07-24 |
| 1174718134 | Richard Park | Internal Medicine | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2007-09-12 |
| 1295813053 | Richard Allen Park | Hospitalist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2006-11-01 |
| 1568579027 | Richard Park | Internal Medicine | 87 N Airlite St, Suite #100, Elgin, IL 60123-4988 | 2006-08-23 |
| 1871517292 | Richard L. Park | Social Worker | 1921 E Yandell Dr, El Paso, TX 79903-3416 | 2006-07-27 |
| Street Address |
175 COMMUNITY DR |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558341230 | Adiel Fleischer | Obstetrics & Gynecology | 175 Community Dr, Great Neck, NY 11021-5502 | 2006-01-19 |
| 1306803036 | Robert Anthony Dimino | Psychiatry & Neurology | 175 Community Dr, Great Neck, NY 11021-5502 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629236427 | Joseph Mirakhor | Emergency Medicine | 43 Bellingham Ln, Great Neck, NY 11023-1322 | 2008-05-28 |
| 1841368057 | Alex Delman | Emergency Medicine | 415 Northern Blvd, Great Neck, NY 11021-4812 | 2006-12-04 |
| 1912941071 | Daniel Benilevi | Emergency Medicine | 200 Middle Neck Rd, Great Neck, NY 11021-1125 | 2006-06-16 |
| 1750588430 | Caroline Rose Via | Emergency Medicine | 415 Northern Blvd, Great Neck, NY 11021-4812 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333466 | Rita Mello | Emergency Medicine | 10 Maplemoor Ln, White Plains, NY 10605-4704 | 2020-10-11 |
| 1891318754 | Mat Medical Associates, P.C. | Emergency Medicine | 565 Route 25a Ste 4, Miller Place, NY 11764-2663 | 2020-05-26 |
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1134749658 | Kenneth Yaboh | Emergency Medicine | 1000 Cherrywood Dr, Baldwin, NY 11510-5009 | 2020-04-24 |
| 1487273777 | Rosheen Teresa Mcelroy | Emergency Medicine | 70 Remsen St # 2ab, Brooklyn, NY 11201-3432 | 2020-04-16 |
| 1477180479 | Taj Medical Pllc | Emergency Medicine | 10925 111th St, South Ozone Park, NY 11420-1015 | 2020-03-27 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1659939700 | Richard Edward Smith Medicine PC | Emergency Medicine | 81 Miller Rd Ste 600, S Schodack, NY 12033-4042 | 2019-06-04 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on DR. RICHARD PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.