Hyun Suk Park

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

340049 Issued in NY

Practice address

1072 Grand Concourse
Bronx, NY 10456-3901

Phone

(212) 395-9000

Fax

(212) 722-7181

NPI assigned

Nov 29, 2017

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

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.

• Am PM Medical P.C.

  • Surgery Physician
  • Bronx, NY
  • NPI 1083033203
  NPD (past)
• Am PM Medical Urgent Care Services PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1548706872
  NPD (past)

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1689188690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 3RD AVE APT 20F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283456",
            "telephone_number": "212-395-9000",
            "fax_number": "212-722-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563901",
            "telephone_number": "212-395-9000",
            "fax_number": "212-722-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYUN",
        "middle_name": "SUK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NY",
            "license": "340049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Junewon Park, PA-C
• Hannah H Park, FNP
• Heakyoung Park, MD
• Hee Joung Park
• Hyeyoung Park
• Hyunyoung Park
• Insook Park
• Inyoung Park
• Jae Hong Park, DMD
• Jane Park

• Family Health Clinical Nurse Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Health Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.