OLIVER PARK (NPI# 1245671635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245671635 |
| Entity Type | Individual |
| Full Name | OLIVER PARK |
| Credential | M.D. |
| Practice Address |
333 Schermerhorn St Suite 34g Brooklyn NY 11217 |
| Practice Telephone | 7184074702 |
| Practice Fax Number | 7182288985 |
| Mailing Telephone | 7184074702 |
| Mailing Fax Number | 7182288953 |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 291993 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Macdonough St Apt 2a, Brooklyn, NY 11233 | 5408098980 | 7185047870 |
| Street Address |
333 SCHERMERHORN ST SUITE 34G |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1912557349 | Meisel Np In Psychiatry, Pllc | Clinic/Center | 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 | 2019-09-17 |
| 1790254084 | Jessica Levy | Social Worker | 2-4 Nevins St., Brooklyn, NY 11217 | 2018-11-16 |
| 1700353638 | Karen Gibbons | Art Therapist | 280 Nevins St., Brooklyn, NY 11217 | 2018-10-29 |
| 1396227740 | Tanvi Dodia Acupuncture Pllc | Acupuncturist | 694 Sackett Street Apt 2, Brooklyn, NY 11217 | 2018-09-02 |
| 1437680873 | Cynthia Cater | Licensed Practical Nurse | 30 3rd Avenue Apt. 847, Brooklyn, NY 11217 | 2017-03-27 |
| 1427596857 | Edg Dental PC | Dentist | 31 Eighth Avenue,suite #1, Brooklyn, NY 11217 | 2017-02-06 |
| 1437506284 | Alternative Optometry for Vision Development P.C. | Optometrist | 40 8th Avenue, Brooklyn, NY 11217 | 2016-05-23 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1831579341 | Christine Lynn Viner | Student in an Organized Health Care Education/Training Program | 63a 7th Ave, Brooklyn, NY 11217 | 2015-06-01 |
| Find all providers in zip 11217 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962976274 | Kings County House Calls Np In Family Health Pllc | General Practice | 3709 Flatlands Ave, Brooklyn, NY 11234-3507 | 2019-01-20 |
| 1306392840 | David Zisha Kinraich | General Practice | 4910 15th Ave Apt 4l, Brooklyn, NY 11219-3236 | 2016-08-25 |
| 1255705075 | Nyc Brook Medical LLC | General Practice | 183 Wilson St Ste 205, Brooklyn, NY 11211-7578 | 2015-11-17 |
| 1811366099 | M S Elisabeth Fanini-lemoine Colon | General Practice | 107 Hart St, Apt.3, Brooklyn, NY 11206-6814 | 2015-09-17 |
| 1407232119 | Andral Mathieu St. Fleur | General Practice | 1023 E 58th St Fl 1, Brooklyn, NY 11234-2517 | 2015-08-04 |
| 1427431568 | Harold Matos Casano | General Practice | 374 Stockholm St Fl 4, Brooklyn, NY 11237-4006 | 2015-07-07 |
| 1467860148 | Jerome Cantor | General Practice | 258 82nd St, Brooklyn, NY 11209-3811 | 2014-07-25 |
| 1225458623 | Lily Xu | General Practice | 757 60th St Fl 1, Brooklyn, NY 11220-4209 | 2014-04-24 |
| 1477974301 | Michel Medical | General Practice | 567 Midwood St, Brooklyn, NY 11203-1110 | 2013-12-19 |
| 1699103200 | Theodor Stanley Kaufman | General Practice | 272 Clinton St, Brooklyn, NY 11201-6145 | 2013-10-16 |
| Find all providers in BROOKLYN | ||||
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| 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.