Jiwon Park, D.P.T., L.AC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

021333 Issued in NY

Practice address

1 Perlman Dr
Spring Valley
Spring Valley, NY 10977-5281

Phone

(845) 517-3330

Fax

(845) 517-3331

NPI assigned

Mar 7, 2007

Last updated

Jun 28, 2016By the provider in NPPES

Sex

Female

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

Enrolled in NY

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Care Physical Therapy and Acupuncture,PLLC

  • Physical Therapist
  • Spring Valley, NY
  • NPI 1730213984
  Medicare reassignment NPD Authorized official
• Hudson Valley Physical Therapy, Chiropractic, and Acupuncture PLLC

  • Chiropractor
  • Spring Valley, NY
  • NPI 1033965165
  NPD
• Alan NG Medical Rehabilitation PC

  • Rehabilitation Practitioner
  • Elmhurst, NY
  • NPI 1538325691
  NPD (past)
• Well Being PT and Acupuncture PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1295982015
  NPD (past)
• Welling Physical Therapy and Acupuncture PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1760659502
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1437280161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERLMAN DR",
            "address_2": "SPRING VALLEY",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "845-517-3330",
            "fax_number": "845-517-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERLMAN DR",
            "address_2": "SPRING VALLEY",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "845-517-3330",
            "fax_number": "845-517-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JIWON",
        "name_prefix": "Ms.",
        "credential": "D.P.T., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002753",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "021333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naura Pare, PTA
• Jessica Paredes, M.S., BCBA
• Park Avenue Pediatrics, P.C. (PArk Avenue Health CEnter)
• Dong Sun Park, D.C
• Ellen Park
• Jacqueline Parker
• Rena Parnes, MS BCBA LBA
• Mikhael Lorenzo Calalang Patawaran, PT
• Palak Patel
• Path to Health LLC

• Specialist in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.