Ryan Jungsun Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00151700 Issued in NJ

Practice address

2619 30TH St Apt 1R
Astoria, NY 11102-2103

Phone

(347) 809-0421

NPI assigned

Apr 7, 2021

Sex

Male

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

State licenses

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.

• RJP Acupuncture PC.

  • Acupuncturist
  • Astoria, NY
  • NPI 1275346595
  NPD Authorized official
• Sylvan Acupuncture P.C.

  • Acupuncturist
  • Englewood Cliffs, NJ
  • NPI 1396327821
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1881273563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 30TH ST APT 1R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022103",
            "telephone_number": "347-809-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 30TH ST APT 1R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022103",
            "telephone_number": "347-809-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "RYAN",
        "middle_name": "JUNGSUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00151700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perri B. Pardini, R.N..
• Ji Eun Park, DDS
• Jiyeon Park
• Joon Park, M.D.
• Key H Park, LCAT
• Won Hui Park, ACUPUNCTURIST
• Yugundo Park, MD
• Scott Parks, RPA
• Trevor Parks, M.D
• Kimberly Parra, RD, RDN

• Acupuncturist in Astoria, NY
• Providers in Astoria, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.