Woodside Medical Care P.C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209387 Issued in NY

Legal business name

WOODSIDE MEDICAL CARE P.C

Practice address

6019 Roosevelt Ave. 201
Woodside, NY 11377-3537

Phone

(718) 446-6579

Fax

(718) 446-1213

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel DO Young Park, D.O

Title

Director

Phone

(718) 446-6579

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• parsons medical care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soonja Kang, NP

  • Family Nurse Practitioner
  • Elmhurst, NY
  • NPI 1316526338
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1124205570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 ROOSEVELT AVE. 201",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773537",
            "telephone_number": "718-446-6579",
            "fax_number": "718-446-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 ROOSEVELT AVE. 201",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773537",
            "telephone_number": "718-446-6579",
            "fax_number": "718-446-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6014 Roosevelt Ave",
            "address_2": "suite 7",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773538",
            "country_code": "US",
            "telephone_number": "718-446-6579",
            "fax_number": "718-446-1213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOODSIDE MEDICAL CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DO YOUNG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-446-6579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02104149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "parsons medical care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Woodside Corner RX Inc
• Woodside Dental Center P.C.
• Woodside Eye Care Inc
• Woodside Family Dental PLLC
• Woodside Medical Care
• Woodside Medical Diagnostic, PC.
• Woodside Medical Practice, P.C.
• Woodside Medical Services PC
• Woodside Physical Therapy Rehabilitation PLLC
• Woodside Vision Inc

• Family Medicine Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.