Sae Joun Park PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

110896 Issued in NY

Legal business name

SAE JOUN PARK PC

Practice address

10 Mitchell Ave
Binghamton, NY 13903-1617

Phone

(607) 762-2020

Fax

(607) 762-2029

NPI assigned

Mar 9, 2010

Last updated

Mar 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sae Joun Park, M.D.

Title

President

Phone

(607) 762-2020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1316260045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MITCHELL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031617",
            "telephone_number": "607-762-2020",
            "fax_number": "607-762-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MITCHELL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031617",
            "telephone_number": "607-762-2020",
            "fax_number": "607-762-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAE JOUN PARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SAE JOUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-762-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "110896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00395675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan E Rygiel, RN
• Ayesha Saad
• Michael Edward Sabatino, MD
• Alia Khizara Sabino, RN
• Malyssa Sadler, LMSW
• Jessica Saeman, CASAC-T, CRPA
• Laurie K Saeman, LPN
• Patricia S. Sage-McLean, LCSW-R
• Megan Sage
• Aakriti Sahrawat, MD

• Adult Medicine Physician in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.