Junsung Park, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013030-1 Issued in NY

Practice address

42 W 38TH St RM 1204
New York, NY 10018-0054

Phone

(212) 320-3722

Fax

(212) 320-3729

NPI assigned

Mar 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jun Sung Park Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Graceful Lotus Acupuncture , P.C.

  • Acupuncturist
  • New York, NY
  • NPI 1689212219

  Single Specialty

  NPD

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1326542549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W 38TH ST RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180054",
            "telephone_number": "212-320-3722",
            "fax_number": "212-320-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W 38TH ST RM 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180054",
            "telephone_number": "212-320-3722",
            "fax_number": "212-320-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUNSUNG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-03-07",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013030-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUN SUNG",
            "last_name": "PARK",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ju Young Park, N.P.
• Juho Park
• Juliet C Park, MD
• Jungjae Park, DDS
• Jungwhan Park
• Junwoo Park
• Justina Park
• Kaiden Innkuk Park
• Karalina Elan Park, MS, L.AC.
• Katherine Elizabeth Park, DMD

• Chiropractor in New York, NY
• Providers in New York, 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 7, 2024; 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.