Chun Hyung Park, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012779-1 Issued in NY

Practice address

21519 39TH Ave Unit 3
Bayside, NY 11361-2114

Phone

(201) 994-6485

NPI assigned

Oct 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1740683663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 IRVING AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321435",
            "telephone_number": "201-994-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21519 39TH AVE UNIT 3",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612114",
            "telephone_number": "201-994-6485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 56th St Fl 3 # 312",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112201122",
            "country_code": "US",
            "telephone_number": "201-994-6485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood Cliffs",
            "state": "NJ",
            "postal_code": "076321435",
            "country_code": "US",
            "telephone_number": "201-994-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHUN HYUNG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00718200",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012779-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank John Pappas, DDS
• Paradigm Neurological Services, PC
• Suneel V Parikh, MD
• Park Place Medical P.C.
• Chan Jin Park, L.AC
• Haeyoung Park
• Janice E Park, LCSW
• Jayoung Park
• Jia Park, M.D
• Jooneui Park

• Chiropractor in Bayside, NY
• Providers in Bayside, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.