Active NPI
Mocean Wellness Corp
- Physical Therapist
- New York, NY
National Provider Identifier
1689205544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOCEAN WELLNESS CORP
- Practice address
- 50 E 42ND St RM 702
New York, NY 10017-5434 - Phone
- (908) 723-1140
- NPI assigned
- Jan 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Jihoon Park, DPT
- Title
- Ceo
- Phone
- (917) 715-4665
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
50 E 42ND St RM 702
New York, NY 10017-5434
Mailing address
50 E 42ND St RM 1304
New York, NY 10017-5425
Other practice location 1
50 E 42nd St Rm 1304
New York, NY 10017-5425
Phone (917) 715-4665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073064937 | Other | NY | OUT OF NETWORK PROVIDER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | joshua@moceanpt.com | ||
| Direct Messaging Address | joshua@moceanpt.com | Direct |
National Provider Directory
National Provider DirectoryLocations
50 E 42nd St
Rm 1304
New York, NY 10017
Phone (917) 715-4665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- New York, NY
- NPI 1073064937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604188800000",
"number": "1689205544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E 42ND ST RM 1304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E 42ND ST RM 702",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175434",
"telephone_number": "908-723-1140"
}
],
"practiceLocations": [
{
"address_1": "50 E 42nd St Rm 1304",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100175425",
"country_code": "US",
"telephone_number": "917-715-4665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOCEAN WELLNESS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-30",
"last_updated": "2020-11-01",
"certification_date": "2020-11-01",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "JIHOON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-715-4665",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUT OF NETWORK PROVIDER",
"identifier": "1073064937",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joshua@moceanpt.com",
"affiliation": "N",
"endpointDescription": "Office Address",
"address_1": "50 E 42nd St Rm 1304",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100175425",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "joshua@moceanpt.com",
"affiliation": "N",
"endpointDescription": "office email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "50 E 42nd St Rm 702",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100175434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.