Active NPI
Won Sik Park
- Emergency Medicine Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 333469-01
- Practice address
- 270 Park Ave
Huntington, NY 11743-2787 - Phone
- (631) 351-2000
- NPI assigned
- Mar 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 333469-01 | NY | Primary |
Addresses
Primary practice location
270 Park Ave
Huntington, NY 11743-2787
Mailing address
9233 246TH St
Floral Park, NY 11001-3920
Phone (646) 599-5943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Pennsylvania State University College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000
Hospital & facility affiliations
- Huntington Hospital
- NS/Lij HS Huntington Hospital
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333469-01 | NY | MD | Emergency Medicine Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Mather Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| John T. Mather Memorial Hospital | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients |
Locations
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Port Jefferson Station, NY
- NPI 1376642371
-
- Critical Care Medicine (Internal Medicine) Physician
- Port Jefferson, NY
- NPI 1467249334
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1104913748
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Huntington, NY
- NPI 1922283480
Dialysis facility
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1134879638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 246TH ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013920",
"telephone_number": "646-599-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432787",
"telephone_number": "631-351-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "WON SIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-27",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "333469-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.