DR. JACLYN J PARK (NPI# 1588785521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588785521 |
| Entity Type | Individual |
| Full Name | DR. JACLYN J PARK |
| Credential | D.D.S. |
| Practice Address |
115 E 57th St Suite#1520 New York NY 10022-2049 |
| Mailing Address |
115 E 57th St Suite #1520 New York NY 10022-2049 |
| Practice Telephone | 2127597303 |
| Practice Fax Number | 2127508929 |
| Mailing Telephone | 2127597303 |
| Mailing Fax Number | 2127508929 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
043731 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851783708 | Jaclyn Park | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2015-03-02 |
| 1609189315 | Jaclyn Park | Speech-Language Pathologist | 4607 Manchaca Rd, Austin, TX 78745-1607 | 2010-07-22 |
| Street Address |
115 E 57TH ST SUITE#1520 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522569 | Joseph B Felder | Internal Medicine | 115 E 57th St, Ste. 510, New York, NY 10022-2049 | 2005-07-18 |
| 1912445859 | Generation Next Fertility Pllc | Obstetrics & Gynecology | 115 E 57th St, Suite 500, New York, NY 10022-2049 | 2017-02-10 |
| 1366994626 | Erica Hershey Jaffe | Marriage & Family Therapist | 115 E 57th St, Suite 1540, New York, NY 10022-2049 | 2016-11-02 |
| 1144771940 | Christopher Mooney Lcsw P.C. | Social Worker | 115 E 57th St, Suite 1540, New York, NY 10022-2049 | 2016-10-18 |
| 1598219248 | Annelie Christina Roding | Physician Assistant | 115 E 57th St, 1450, New York, NY 10022-2049 | 2016-08-11 |
| 1336502889 | Keri Peterson Md PC | Internal Medicine | 115 E 57th St, Suite 510, New York, NY 10022-2049 | 2016-04-01 |
| 1538527346 | Manhattan Optimal Medical Wellness, Pllc | Family Medicine | 115 E 57th St, Suite 1450, New York, NY 10022-2049 | 2016-02-08 |
| 1255797676 | Bayside Pain Management | Pain Medicine | 115 E 57th St, New York, NY 10022-2049 | 2016-01-14 |
| 1215392881 | Active Chiropractic and Physical Therapy, Pllc | Chiropractor | 115 E 57th St, 520, New York, NY 10022-2049 | 2015-12-23 |
| 1679938757 | Wellness Integrative Chiropractic Acupuncture | Chiropractor | 115 E 57th St, Suite 520, New York, NY 10022-2049 | 2015-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| 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 |
|---|---|---|---|---|
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| 1518527001 | Rachel Margaret George | Dentist | 400 E 67th St Apt 26c, New York, NY 10065-6340 | 2019-06-17 |
| 1134788706 | Nada Samra | Dentist | 1 River Pl Apt 1516, New York, NY 10036-4371 | 2019-06-07 |
| 1447729108 | Xiaoqian Ye | Dentist | 345 E 94th St Apt 8g, New York, NY 10128-5689 | 2018-11-24 |
| 1093283012 | Sae Rom Yoon | Dentist | 16 E 52nd St Ste 800, New York, NY 10022-5351 | 2018-11-07 |
| 1083189252 | Sound Dental Pllc | Dentist | 42 Lafayette St, New York, NY 10013-4043 | 2018-10-03 |
| 1871074450 | Chase Thompson | Dentist | 790 Riverside Dr Apt 2k, New York, NY 10032-7433 | 2018-08-22 |
| 1154807451 | Otto J Rodriguez | Dentist | 651 W 171st St Apt 27, New York, NY 10032-3025 | 2018-07-19 |
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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.