Individual provider Active NPI

Sai Chang Park, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1609898824
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
142061 Issued in NY
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone
(718) 240-5000
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 142061 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Mailing address

1 Greenwood LN
Sands Point, NY 11050-1913
Phone (516) 883-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001983 NY Practitioner - Diagnostic Radiology 5193616530 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
142061NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 18, 2024 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Jan 28, 2023 Accepting new patients
CMC Radiological Services PC Diagnostic Radiology Past Accepting new patients
113TH Street Medical Group, PC Diagnostic Radiology Past Accepting new patients
CHS Physician Partners, P.C Past Accepting new patients
Radiological Consultants, Inc. Diagnostic Radiology PastSince Sep 26, 2016 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology PastSince Dec 1, 2015 Accepting new patients
Doshi Diagnostic Imaging Services PC Diagnostic Radiology PastSince Jan 1, 2012 Accepting new patients
The Parkway Hospital Past Accepting new patients
CMC Radiological Services PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 48)

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

4507 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

110 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4155

500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

275 North St
Harrison, NY 10528
Phone (914) 925-5211

712 Main St
Islip, NY 11751
Phone (631) 666-3939

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

77 Route 112
Patchogue, NY 11772
Phone (631) 207-2370

161 E Main St
Port Jervis, NY 12771
Phone (845) 856-3284

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609898824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREENWOOD LN",
            "city": "SANDS POINT",
            "state": "NY",
            "postal_code": "110501913",
            "telephone_number": "516-883-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SAI",
        "middle_name": "CHANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "142061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.