Chung B Park Physician PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CHUNG B PARK PHYSICIAN PC

Practice address

900 Northern Blvd Ste 140
Great Neck, NY 11021-5302

Phone

(516) 466-6760

Fax

(516) 466-6776

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Chung B Park, MD

Title

Owner

Phone

(917) 847-0594

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1194211441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LYONS RD",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042227",
            "telephone_number": "914-273-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD STE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215302",
            "telephone_number": "516-466-6760",
            "fax_number": "516-466-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG B PARK PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-847-0594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravina Chopra
• Ani Chouldjian-Baghdassarian, M.D.
• Grace Chow, MD
• Olivia Chu, O.D.
• Peiyun Chu, MD
• Wai Fong Chung
• Rebecca Lindsay Chusid, M.D.
• Daniel Ciborowski, DPT
• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• Citywide Eye Care Optometry PLLC (Citywide Eye Care)

• Anesthesiology Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.