Jeongmi Park, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

558849 Issued in NY

Practice address

190 Steamboat Rd
Great Neck, NY 11024

Phone

(646) 262-9485

NPI assigned

Dec 20, 2010

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1831492578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STEAMBOAT RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241737",
            "telephone_number": "646-262-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 STEAMBOAT RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11024",
            "telephone_number": "646-262-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JEONGMI",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "558849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constantinos George Pappous, D.D.S.
• Karen Wachtel Parekh, PH.D.
• Krutee Parikh
• Christina H. Park, M.D.
• Daniel Ingun Park
• Richard Park, MD
• Sang Min Park
• Sang Yoon Park
• Adina Pascaru, M.D.
• Jessica Ann Passarelli, PT

• Registered Nurse in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.