Sang Min Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006728 Issued in NY

Practice address

257 Schenck Ave
Great Neck, NY 11021-3944

Phone

(646) 873-0710

NPI assigned

Aug 6, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maxwell Medical Health, PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1881012987

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1528678257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SCHENCK AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213944",
            "telephone_number": "646-873-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 SCHENCK AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213944",
            "telephone_number": "646-873-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SANG MIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krutee Parikh
• Christina H. Park, M.D.
• Daniel Ingun Park
• Jeongmi Park, RN
• Richard Park, MD
• Sang Yoon Park
• Adina Pascaru, M.D.
• Jessica Ann Passarelli, PT
• Harvey Passes, DDS
• Michelle Lauren Passik, OTR/L

• Acupuncturist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.