Sang Ho Park, D.C.

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

X009838 Issued in NY

Practice address

4212 164TH St FL 1
Flushing, NY 11358-2620

Phone

(718) 701-5500

NPI assigned

Jul 11, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Your True Chiropractic PC

  • Chiropractor
  • Flushing, NY
  • NPI 1316234917
  NPD (past) Authorized official
• SHP Chiropractic P.C.

  • Independent Medical Examiner Chiropractor
  • Flushing, NY
  • NPI 1508643404
  NPD
• Global Medical Physician PC

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, NY
  • NPI 1346316650
  NPD (past)
• Tristate Medical Care PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palisades Park, NJ
  • NPI 1053352468
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1235164989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3525",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110408525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 164TH ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582620",
            "telephone_number": "718-701-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SANG",
        "middle_name": "HO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004689",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NY",
            "license": "X009838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miyoung Park
• No Tae Park
• Olivia Park, PHARMD
• Rana Park
• Sae-Lyoung Park, D.P.M.
• Sang Jun Park, LAC
• So-Youn Park
• Sojeung Park, PHARMD
• Soyul Park
• Soyun Park

• Independent Medical Examiner Chiropractor in Flushing, NY
• Providers in Flushing, NY by specialty
• Independent Medical Examiner Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.