Justin Changgyu Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5412 Issued in NY

Practice address

500 Dekalb Ave Ste 321
Brooklyn, NY 11205-4808

Phone

(646) 498-3398

NPI assigned

Nov 24, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1033516737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604246",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113604246",
            "telephone_number": "646-498-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DEKALB AVE STE 321",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054808",
            "telephone_number": "646-498-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9413 Flatlands Ave Ste 1W",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112363713",
            "country_code": "US",
            "telephone_number": "718-241-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUSTIN",
        "middle_name": "CHANGGYU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X014050",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "5412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Hyun Park, MD
• Jinwoo Michael Park, D.D.S.
• Jodie Park, SLP
• Jung Uk Park
• Juseok Park
• Lala Park
• Laura Park, OTR/L
• Lillian Park, LMHC, MA, MED
• Maryann Park
• Nancy Park

• Acupuncturist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.