DR. INSUN PARK (NPI# 1558818385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558818385 |
| Entity Type | Individual |
| Full Name | DR. INSUN PARK |
| Credential | D.C. |
| Practice Address |
2175 Hudson Ter 9b Fort Lee NJ 07024-7721 |
| Mailing Address |
100 Winston Dr Apt 6bn Cliffside Park NJ 07010-3264 |
| Practice Telephone | 2015752783 |
| Mailing Telephone | 2015752783 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00523300 | NJ | Chiropractic Providers |
| Street Address |
2175 HUDSON TER 9B |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-7721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508028770 | Michael Joseph Viksjo | Student in an Organized Health Care Education/Training Program | 2175 Hudson Ter, 5n, Fort Lee, NJ 07024-7721 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487051 | John Mathai | Chiropractor | 1622 Parker Ave # 2b, Fort Lee, NJ 07024-6927 | 2020-02-03 |
| 1508336298 | Elite Spine and Sports Care of Fort Lee PC | Chiropractor | 1622 Parker Ave Ste 2b, Fort Lee, NJ 07024-6927 | 2018-11-26 |
| 1972048346 | Minjae Yoo | Chiropractor | 1209 15th St Fl 1, Fort Lee, NJ 07024-1707 | 2016-12-21 |
| 1053781922 | Adios Chiropractic, PC | Chiropractor | 2500 Lemoine Ave Ste 303, Fort Lee, NJ 07024-6205 | 2015-10-04 |
| 1508267634 | A Plus Therapy Center, P.C. | Chiropractor | 1638 Schlosser St D4 Rm 3, Fort Lee, NJ 07024-5650 | 2014-09-08 |
| 1184988107 | Sangrok Moon | Chiropractor | 2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024-6210 | 2012-06-25 |
| 1942432554 | Ryan S Lee | Chiropractor | 1638 Schlosser St Ste D4, Fort Lee, NJ 07024 | 2009-08-14 |
| 1801965918 | Samue C. Park | Chiropractor | 810 Abbott Blvd Ste 304, Fort Lee, NJ 07024-4117 | 2006-11-06 |
| 1659383578 | Mario V Glavicic | Chiropractor | 520 Main St Ste 303, Fort Lee, NJ 07024-4501 | 2006-08-12 |
| 1326057654 | Mark Leo Hagopian | Chiropractor | 1331 Anderson Ave, Suite -f, Fort Lee, NJ 07024-1772 | 2006-08-05 |
| Find all providers in FORT LEE | ||||
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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.