Active NPI
Seung K. Park, LAC, LMT
- Acupuncturist
- New York, NY
National Provider Identifier
1174061956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005909
- Practice address
- 20 E 35TH St
#1E
New York, NY 10016-3887 - Phone
- (205) 285-7837
- NPI assigned
- Feb 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005909 | NY | Primary |
| Massage Therapist | 225700000X | 015929 | NY |
Addresses
Primary practice location
20 E 35TH St
#1E
New York, NY 10016-3887
Mailing address
1106 128TH St
College Point, NY 11356-1938
Phone (205) 285-7837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015929 | NY | MD | Mental Health Counselor |
| 005909 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhee-Park Acupuncture, P.C. | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Long Island City, NY
- NPI 1205314614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1174061956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 128TH ST",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561938",
"telephone_number": "205-285-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E 35TH ST",
"address_2": "#1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163887",
"telephone_number": "205-285-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SEUNG",
"middle_name": "K.",
"credential": "LAC, LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-01",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005909",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "015929",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.