Jean Y Park (NPI# 1306048087, PAC ID# 2769558188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1306048087 |
| PAC ID by PECOS | 2769558188 |
| Professional Enrollment ID | I20080909000702 |
| Full Name | Jean Y Park |
| Organization Legal Name | SOMERS ORTHOPAEDIC SURGERY AND SPORTS MED GROUP PLLC |
| Address |
664 Stoneleigh Ave Suite 300 Carmel NY 10512-3990 |
| Phone Number | 8452788400 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 9638061674 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330273 | PUTNAM HOSPITAL CENTER |
| 330162 | NORTHERN WESTCHESTER HOSPITAL |
| 330023 | VASSAR BROTHERS MEDICAL CENTER |
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 | 8452788400 | SOMERS ORTHOPAEDIC SURGERY AND SPORTS MED GROUP PLLC |
| Organization Legal Name | SOMERS ORTHOPAEDIC SURGERY AND SPORTS MED GROUP PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmine Spadaccini | Physician Assistant | Somers Orthopaedic Surgery and Sports Med Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Jennifer L Kelly | Physical Therapy | Somers Orthopaedic Surgery and Sports Med Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Winshih Chang | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Med Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Lauren Laurelli | Nurse Practitioner | Somers Orthopaedic Surgery and Sports Med Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Lawrence G Foster | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Med Group Pllc | 664 Stoneleigh Ave, Carmel, NY 10512-3990 |
| Street Address |
664 STONELEIGH AVE SUITE 300 |
| City | CARMEL |
| State | NY |
| Zip | 10512-3990 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yariv Maghen | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 103, Carmel, NY 10512-3996 |
| Douglas Fauser | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Laura Klein | Nurse Practitioner | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Frank Fasano | Physician Assistant | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Joel S Buchalter | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Daniel Howard | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Stuart Styles | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Michael L Bernstein | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Scott M Levin | Orthopedic Surgery | Somers Orthopaedic Surgery and Sports Medicine Group Pllc | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 |
| Jeffrey Richard Cohen | Optometry | Caremount Medical PC | 664 Stoneleigh Ave, Suite 111, Carmel, NY 10512-3940 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary T Alfinito | Clinical Social Worker | 28 Belden Rd, Carmel, NY 10512-1021 | |
| Caren Goldstein | Nurse Practitioner | Health Quest Medical Practice, PC | 150 Route 52, Carmel, NY 10512-1200 |
| Michael Capicotto | Nephrology | Health Quest Medical Practice, PC | 150 Route 52, Carmel, NY 10512-1200 |
| Aswini K Choudhury | Internal Medicine | Health Quest Medical Practice, PC | 150 Route 52, Carmel, NY 10512-1200 |
| Egesta Mani | Internal Medicine | Health Quest Medical Practice, PC | 150 Route 52, Carmel, NY 10512-1200 |
| Izabela Kozicz | Internal Medicine | Health Quest Medical Practice, PC | 150 Route 52, Carmel, NY 10512-1200 |
| Michael Dubin | Internal Medicine | Health Quest Medical Practice, PC | 150 Route 52, Carmel, NY 10512-1200 |
| Charles J Marino | Chiropractic | Carmel Medical Care PC | 91 Gleneida Ave, Carmel, NY 10512-1222 |
| Edward M Covelli Jr. | Chiropractic | Carmel Medical Care PC | 91 Gleneida Ave, Carmel, NY 10512-1244 |
| Michael J Bank | Internal Medicine | Carmel Medical Care PC | 91 Gleneida Ave, Carmel, NY 10512-1244 |
| Find all physicians in zip 10512 | |||
| City | CARMEL |
| Zip Code | 10512 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | CARMEL + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Jean Y Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.