Individual provider Active NPI

Joe Young Park

  • Diagnostic Radiology Physician
  • New Orleans, LA
National Provider Identifier
1144457623
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
274779 Issued in NY
Practice address
1542 Tulane Ave
RM 353
New Orleans, LA 70112-2865
Phone
(212) 263-5230
NPI assigned
Jun 11, 2009
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 274779 NY Primary

Addresses

Primary practice location

1542 Tulane Ave
RM 353
New Orleans, LA 70112-2865

Mailing address

1542 Tulane Ave
RM 353
New Orleans, LA 70112-2865

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpark91609@nyumc.direct-ci.com Other NYU Langone

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY, NV, FL4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150429002338 LA Practitioner - Diagnostic Radiology 5092034843 Reassigns benefits to 2 organizations
I20211213002294 NY Practitioner - Diagnostic Radiology 5092034843 Reassigns benefits to 3 organizations
I20230802003810 NV Practitioner - Diagnostic Radiology 5092034843 Reassigns benefits to 1 organization
I20260410000680 FL Practitioner - Diagnostic Radiology 5092034843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

800 Trophy Hills Dr
Las Vegas, NV 89134-6373
Phone (212) 263-5320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2022 Accepting new patients
New York University Surgery CurrentSince Jan 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 21, 2021 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Dec 10, 2015 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Dec 10, 2015 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jun 1, 2015 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 21, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jun 1, 2015 Accepting new patients

Locations

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
Rm 353
New Orleans, LA 70112
Phone (504) 568-4647

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jpark1848711@nychhc.direct-ci.com

Organizations & group practices 8

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1144457623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "address_2": "RM 353",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "address_2": "RM 353",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "212-263-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOE",
        "middle_name": "YOUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-06-28",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "274779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpark91609@nyumc.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "NYU Langone",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "address_1": "1542 Tulane Ave",
            "address_2": "RM 353",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701122865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.