JINWOO MICHAEL PARK (NPI# 1316467004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316467004 |
| Entity Type | Individual |
| Full Name | JINWOO MICHAEL PARK |
| Credential | D.D.S. |
| Practice Address |
408 Knickerbocker Ave Fl 2 Brooklyn NY 11237 |
| Mailing Address |
16 Stuyvesant Oval Apt 6b New York NY 10009-2238 |
| Practice Telephone | 7185733333 |
| Mailing Telephone | 6467276981 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
060007 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16 Stuyvesant Oval Apt 6b, New York, NY 100092238 | (646) 727-6981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780836031 | Jinwoo Park | Acupuncturist | 4001 S La Costa Ct, 4001 S La Costa Ct, La Habra, CA 90631 | 2008-10-17 |
| 1750798971 | Jinwoo Park | Chiropractor | 150 Broadhollow Rd Ste 316, Melville, NY 11747-4901 | 2014-07-21 |
| 1831354091 | Jinwoo Park | Dentist | 2601 Annand Dr, #18, Wilmington, DE 19808-3719 | 2008-07-26 |
| Street Address |
408 KNICKERBOCKER AVE FL 2 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497124275 | Karimeh Hani Shehadeh | Dentist | 408 Knickerbocker Ave Fl 2, Brooklyn, NY 11237-4102 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1558909655 | Moonlight Smile Dental PC | Dentist | 3064 Coney Island Ave Ste 1a, Brooklyn, NY 11235-6475 | 2019-12-19 |
| 1336795897 | Mark D. Debock Dds | Dentist | 7500 4th Ave Ste A1, Brooklyn, NY 11209-3209 | 2019-08-12 |
| 1891357281 | David Barton | Dentist | 374 Stanhope St, Brooklyn, NY 11237-4434 | 2019-07-05 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1225693724 | Mk Smile Dental PC | Dentist | 2860 Ocean Ave Apt A1, Brooklyn, NY 11235-3111 | 2019-05-09 |
| 1265095335 | Malayev Dental P.C. | Dentist | 502 39th St Apt 2f, Brooklyn, NY 11232-3025 | 2019-04-15 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1124595517 | Maria Jezrell Santos | Dentist | 1641 Ryder St, Brooklyn, NY 11234-4306 | 2018-10-24 |
| 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.