Sohee Park, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AG06230186 Issued in NY

Practice address

4325 Hunter St Apt 944E
Long Island City, NY 11101-4471

Phone

(929) 584-0592

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1275219867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 HUNTER ST APT 944E",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014471",
            "telephone_number": "929-584-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 HUNTER ST APT 944E",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014471",
            "telephone_number": "929-584-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SOHEE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "AG06230186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efstratios Papazahariou, PT, DPT
• Vassiliki Pappas, LMHC-D, LPC, NCC
• Miyaseki Sakaeda Paragas, NP
• Enyoung Park, DDS
• Katie K Park
• Young Kyoung Park
• Ramona Parkash, PA-C
• Gina M Parrotta, RN
• Joy Lazo Parubrub, COTA
• Farah Maniza Parvez, MD, MPH

• Adult Health Nurse Practitioner in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.