Dong Hyouk Park

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039217 Issued in NY

Practice address

6424 11TH Ave
Brooklyn, NY 11219-5639

Phone

(718) 333-5360

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New York Physical and Occupational Therapy Services, PLLC

  dba New York Therapy And Wellness

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD
• Evergreen Gables Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1679312987
  NPD Authorized official
• Jun H Lee Chiropractic PC

  • Chiropractor
  • Brooklyn, NY
  • NPI 1992534101
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1811686629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MANORHAVEN BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501521",
            "telephone_number": "347-242-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195639",
            "telephone_number": "718-333-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DONG HYOUK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Surgical Co.,Inc.
• Park Vascular LLC
• Austin Park, MS, RDN
• Christie Sunjae Park
• Christine Park
• Dong Soon Park, D.C.
• Elizabeth Jooyoun Park
• Eunhae Park, MD
• Eunie Park, PPCNP-BC
• Ha Yeon Park, DMD

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.