Jonghun Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

3290 Issued in NY

Practice address

703 Ardsley Rd
Scarsdale, NY 10583-1802

Phone

(917) 756-5338

NPI assigned

Nov 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1144864802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ARDSLEY RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831802",
            "telephone_number": "917-756-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ARDSLEY RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831802",
            "telephone_number": "917-756-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JONGHUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.needle@hotmail.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "703 Ardsley Rd",
            "city": "Scarsdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105831802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Ellen Panarella
• Marie Kristine Nufable Panganiban, MD
• Christine Papaspiridakos, NP
• Geeta Parab, O.T.
• Marissa Parisi, SLP
• Meghana Parsi
• Linda Ann Pascal
• Vanessa Pastore, MA, OTR/L
• Lisa Beth Patchen, DDS
• Manish Patel

• Acupuncturist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.