Richard Park, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

224603 Issued in NY

Practice address

175 Community Dr
Great Neck, NY 11021-5502

Phone

(516) 465-1900

Fax

(516) 465-1830

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SMG Medical Practice Group PC

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1710660659
  NPD Authorized official
• Huntington Hospital Association

  • Nuclear Cardiology Physician
  • Huntington, NY
  • NPI 1225003221
  NPD (past)
• Li Medical Group PLLC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1144878414
  NPD (past)
• North Shore Long Island Jewish Healthcare

  • Cardiovascular Disease Physician
  • Westbury, NY
  • NPI 1215019500

  Emergency Medicine

  NPD (past)
• Northern Immediate Medical PLLC

  • Emergency Medicine Physician
  • Flushing, NY
  • NPI 1851576011
  NPD (past)
• Statmd Physicians, PLLC

  • Emergency Care Clinic/Center
  • New Hyde Park, NY
  • NPI 1710020417

  Emergency Medicine

  NPD (past)
• Terence Cardinal Cooke Health Care Center

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1598744146
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1114985298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIJMC-DEPT OF EMERGENCY MEDICINE",
            "address_2": "270-05 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-7500",
            "fax_number": "718-347-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502",
            "telephone_number": "516-465-1900",
            "fax_number": "516-465-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "224603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Wachtel Parekh, PH.D.
• Krutee Parikh
• Christina H. Park, M.D.
• Daniel Ingun Park
• Jeongmi Park, RN
• Sang Min Park
• Sang Yoon Park
• Adina Pascaru, M.D.
• Jessica Ann Passarelli, PT
• Harvey Passes, DDS

• Emergency Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.