JUNG PARK (NPI# 1417302621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417302621 |
Entity Type | Individual |
Full Name | JUNG PARK |
Practice Address |
11112 Atlantic Ave South Richmond Hill NY 11419-1158 |
Practice Telephone | 7188460824 |
Mailing Telephone | 7188460824 |
Enumeration Date | 2016-04-26 |
Last Update Date | 2016-04-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
007311 | NY | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225569817 | Jung Park | Student in an Organized Health Care Education/Training Program | 255 Whitney Ave Apt 34, New Haven, CT 06511-3751 | 2017-03-24 |
1336681238 | Jung Park | Acupuncturist | 308 Preston Ave, Pasadena, TX 77503-1215 | 2016-11-08 |
1275783813 | Jung Sun Park | Dentist | 1860 Alcatraz, Berkeley, CA 94703 | 2008-09-19 |
1194919209 | Jung Hoon Park | Dentist | 5249 Duke St Ste 210, Alexandria, VA 22304-2907 | 2007-08-31 |
1124006523 | Jung I. Park | Specialist | 8825 Crestwood Ave, Munster, IN 46321-2711 | 2006-01-05 |
1942291638 | Jung Tae Park | Family Medicine | 13851 Highway 28, Whitwell, TN 37397-5373 | 2005-11-02 |
1679004873 | Jung Mi Park | Hospitalist | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2017-03-21 |
1053601161 | Jung Eun Park | Pediatrics | 6345 Center Dr Bldg 14, Norfolk, VA 23502-4105 | 2011-04-10 |
1174855738 | Jung Park | Internal Medicine | 8110 Woodman Ave, Panorama City, CA 91402 | 2010-02-08 |
1659517902 | Jung Park | Orthopaedic Surgery | 3401 N Broad St, Outpatient Building 6th Fl., Philadelphia, PA 19140-5103 | 2008-12-16 |
Street Address |
11112 ATLANTIC AVE |
City | SOUTH RICHMOND HILL |
State | NY |
Zip Code | 11419-1158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609244698 | Hj Vision Corp | Technician/Technologist | 11112 Atlantic Ave, South Richmond Hill, NY 11419-1158 | 2015-09-08 |
1801495775 | Mak 92 Inc. | Pharmacy | 11112 Atlantic Ave, South Richmond Hill, NY 11419-1158 | 2020-10-22 |
1457877318 | Mehar Afshan | Pharmacist | 11112 Atlantic Ave, South Richmond Hill, NY 11419-1158 | 2017-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780218081 | Ny Metro Dental, PC | Dentist | 119-01 Liberty Avenue, Richmond Hill, NY 11419 | 2020-02-25 |
1811558646 | Sarah Lindsay Davison | Speech-Language Pathologist | Cuomo First Step Preschool, 115-15 101st Avenue, South Richmond Hill, NY 11419 | 2019-06-24 |
1629569983 | Village Star Drugs Inc | Pharmacy | 125-05 Liberty Avenue, S. Richmond Hill, NY 11419 | 2018-05-22 |
1023535994 | Sonali Sheth | Pharmacist | Sure Drugs Pharmacy, 118-06 101st Ave., South Richmond, NY 11419 | 2017-08-23 |
1518408491 | Therapy Care Pta P.C. | Clinic/Center | 10130 116th St, South Richmond Hill, NY 11419 | 2017-03-13 |
1285173526 | Theresa Home Care Agency Inc | Home Health | 110-08 Liberty Ave, Richmond, NY 11419 | 2017-02-20 |
1750820163 | Aisha Khizar | Contractor | 13214 101st Ave, South Richmond Hill, NY 11419 | 2017-02-17 |
1417492778 | Bhanmatie Balkaran | Licensed Practical Nurse | 105-16 135th Street, South Richmond Hill, NY 11419 | 2016-12-22 |
1225571011 | Nzinga Gillis | Behavioral Analyst | 104-29 129th Street, South Richmond Hill, NY 11419 | 2016-11-28 |
1740738236 | Arun Thaker | Clinic/Center | 130-05 101 Street, 1, Jamaica, NY 11419 | 2016-09-14 |
Find all providers in zip 11419 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609244698 | Hj Vision Corp | Technician/Technologist | 11112 Atlantic Ave, South Richmond Hill, NY 11419-1158 | 2015-09-08 |
1932139763 | Nichola Althea Garraway | Technician/Technologist | 11502 Liberty Ave, South Richmond Hill, NY 11419-1902 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
Find all providers with the same taxonomy |
City | SOUTH RICHMOND HILL |
Zip Code | 11419 |
Please comment or provide details below to improve the information on JUNG 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.