Dongsoon Park,D.C,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

011699-1 Issued in NY

Legal business name

DONGSOON PARK,D.C,P.C.

Practice address

7003 Fort Hamilton Pkwy
Brooklyn, NY 11228-1103

Phone

(718) 333-5603

Fax

(718) 333-5604

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dong Soon Park, D.C.NPI 1912297516

Title

President

Phone

(563) 209-3619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dong Soon Park, D.C.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1912297516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1255606455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4569 PARSONS BLVD",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552253",
            "telephone_number": "563-209-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281103",
            "telephone_number": "718-333-5603",
            "fax_number": "718-333-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGSOON PARK,D.C,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-209-3619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Dong
• Yun Dong
• Zhiqi Dong
• Dongan Hills Physical Therapy, P.L.L.C.
• Bhakti Dongre
• Chana Donin
• Charles Donkor-Baah, MBCHB
• Ethel Donkor
• Naomi Donn
• Rivka Donn

• Chiropractor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.