Insun Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00523300 Issued in NJ

Practice address

2175 Hudson Ter
9B
Fort Lee, NJ 07024-7721

Phone

(201) 575-2783

NPI assigned

Sep 9, 2016

Last updated

Oct 12, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

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.

• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Sylvan Chiropractic Clinic, LLC

  • Chiropractor
  • Englewood Cliffs, NJ
  • NPI 1144702853
  NPD Authorized official
• New Jersey Pain Center PC

  • Chiropractor
  • Ridgefield, NJ
  • NPI 1699227686
  Authorized official Same address or phone

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1558818385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINSTON DR APT 6BN",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103264",
            "telephone_number": "201-575-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 HUDSON TER",
            "address_2": "9B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247721",
            "telephone_number": "201-575-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "INSUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00523300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Park, L.AC, PA-C
• Haeri Park
• Hyewon Park
• Hyun Joo Park, DPT
• Inhyon Park, D.C, L.AC
• Jeong In Park, PHARMACIST
• Jihye Park, DDS
• Jonghee Park
• Jung Chul Park
• Margaret Chu Park, D.M.D.

• Chiropractor in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.