Andrew J Park, DC, MS, MS LAC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012187-1 Issued in NY

Practice address

850 7TH Ave
Suite 302
New York, NY 10019-5230

Phone

(516) 813-7099

Fax

(646) 688-4765

NPI assigned

Jun 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1063774693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 7TH AVE",
            "address_2": "SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195230",
            "telephone_number": "516-813-7099",
            "fax_number": "646-688-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 7TH AVE",
            "address_2": "SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195230",
            "telephone_number": "516-813-7099",
            "fax_number": "646-688-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC, MS, MS LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012187-1",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X012187-1",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X012187",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Park-Chong, NP
• Okkyoung Park-Kim, L.AC.
• Park-Lex Medical, P.C.
• Ahyoung Park
• Aileen Park
• Angela Park, M.D.
• Anna Yong Park, PA-C
• Anne Park
• Anthony K. Park, MD
• Aram Park

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.