Ji Hyae Park

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

6118 231St St
2ND Floor
Oakland Gardens, NY 11364-2427

Phone

(917) 575-4535

NPI assigned

Apr 29, 2014

Last updated

Apr 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

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  Authorized official Same address or phone

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1679983720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 231ST ST",
            "address_2": "2ND FLOOR",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642427",
            "telephone_number": "917-575-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 231ST ST",
            "address_2": "2ND FLOOR",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642427",
            "telephone_number": "917-575-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JI HYAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Noel Oliva Pador, PT
• Eun Soo Pak, MS, CCC/SLP
• Celia Palaganas, DDS
• Carol Park
• Eunmin Park
• Ashley Pasinkoff, TEACHER MSED
• Mandakini Patel, MD
• Patients First Medical Care, P.C.
• Luminita Lenci Perceli-Harghel, M.D.
• David Jonathan Perez, DPT

• Student in an Organized Health Care Education/Training Program in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.