DR. JANE PARK (NPI# 1447741368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447741368 |
| Entity Type | Individual |
| Full Name | DR. JANE PARK |
| Credential | DO |
| Practice Address |
376 Seguine Ave Staten Island NY 10309-3942 |
| Mailing Address |
101 W 12th St Apt 15h New York NY 10011-8129 |
| Practice Telephone | 7182265976 |
| Mailing Telephone | 4438520648 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Seaview Ave, Staten Island, NY 103053401 | 7182262473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974122 | Jane Gerke Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-07 |
| 1790267722 | Jane Chung Park | Marriage & Family Therapist | 3727 W 6th St Ste 320, Los Angeles, CA 90020-5108 | 2018-09-06 |
| 1104323047 | Jane Park | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-04-08 |
| 1528448131 | Jane Park | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2015-06-09 |
| 1194125757 | Jane Park | Pharmacist | 1739 S Victoria Ave, Ventura, CA 93003-6503 | 2014-09-01 |
| 1700211893 | Jane S Park | Pharmacist | 35 Kensico Rd, Walgreens, Thornwood, NY 10594-1143 | 2013-09-07 |
| 1447699327 | Jane Haejin Park | Marriage & Family Therapist | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2013-06-24 |
| 1790129898 | Jane J Park | Internal Medicine | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2013-04-19 |
| 1134461411 | Jane Park | Student in an Organized Health Care Education/Training Program | 2351 Clay St, Suite 380, San Francisco, CA 94115-1931 | 2013-03-25 |
| 1861622433 | Jane Park | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2009-07-17 |
| Street Address |
376 SEGUINE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10309-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134272495 | Robert Gabriel Stern | Psychiatry & Neurology | 376 Seguine Ave, Staten Island University Hospital, Staten Island, NY 10309-3942 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816650 | Nikki Schechter | Occupational Therapist | 3495 Richmond Road, Staten Island, NY 10309 | 2018-06-27 |
| 1659878213 | Pauline Izzo | Nurse Practitioner | 544 Darlington Ave, Staten Island, NY 10309 | 2018-04-10 |
| 1053822544 | Dufort Psychological Services Pllc | Psychologist | 401 Bloomingdale Rd Suite 6, Staten Island, NY 10309 | 2017-10-24 |
| 1902324361 | Anthony Orefice | Home Health | 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 | 2017-09-06 |
| 1770007767 | Graceann Cotroneo | Specialist | 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 | 2017-08-01 |
| 1477075836 | Matthew Jordan Levine | Specialist | 15 Redwood Loop, Staten Island, NY 10309 | 2017-07-07 |
| 1619339256 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 205 Bricktown Way, Ste A, Staten Island, NY 10309 | 2016-03-23 |
| 1295109692 | Danielle Kinsman | Early Intervention Provider Agency | 1007 Edgegrove Avenue, Staten Island, NY 10309 | 2015-11-23 |
| 1811363591 | Daniella Aryeh | Speech-Language Pathologist | 997 Stafford Avenye, Staten Island, NY 10309 | 2015-08-17 |
| 1649652058 | Visions By Victoria Rose Ltd. | Technician/Technologist | 639 Veterans Road West, Suite 5(e), Staten Island, NY 10309 | 2015-06-22 |
| Find all providers in zip 10309 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448489 | Nicholas Ruggiero | Student in an Organized Health Care Education/Training Program | 136 Brook Ave, Staten Island, NY 10306-4420 | 2020-05-10 |
| 1740802024 | Matthew Mathai | Student in an Organized Health Care Education/Training Program | 242 Livingston Ave, Staten Island, NY 10314-6932 | 2020-05-10 |
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1497374680 | Bachar Botrus | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Department of Medicine Villa Bldg 1st Fl, Staten Island, NY 10310-1664 | 2020-04-08 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1053950352 | Victoria Lamberti | Student in an Organized Health Care Education/Training Program | 469 Lamont Ave, Staten Island, NY 10312-2817 | 2020-01-03 |
| 1376181412 | Rayutte Blazer | Student in an Organized Health Care Education/Training Program | 146 Rupert Ave, Staten Island, NY 10314-5051 | 2019-12-19 |
| 1457999070 | Sara I Genova | Student in an Organized Health Care Education/Training Program | 670 Manor Rd, Staten Island, NY 10314-4525 | 2019-12-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10309 |
Please comment or provide details below to improve the information on DR. JANE 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.