Organization Active NPI

Mocean Wellness Corp

  • Physical Therapist
  • New York, NY
National Provider Identifier
1689205544
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Nov 1, 2020

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

Authorized official

Name
Dr. Joshua Jihoon Park, DPTNPI 1073064937
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1073064937OtherNYOUT OF NETWORK PROVIDER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joshua@moceanpt.com
Direct Messaging Address joshua@moceanpt.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.