SUNJU PARK (NPI# 1013216860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013216860 |
| Entity Type | Individual |
| Full Name | SUNJU PARK |
| Credential | M.D. |
| Practice Address |
3400 Bainbridge Ave Bronx NY 10467 |
| Mailing Address |
3332 Rochambeau Ave Fl 3 Bronx NY 10467-2836 |
| Practice Telephone | 7189202020 |
| Mailing Telephone | 7189205520 |
| Mailing Fax Number | 7188815439 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0110X |
Ophthalmology Specialization: Pediatric Ophthalmology and Strabismus Specialist |
292508 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 131740114 | 01 |
| Street Address |
3400 BAINBRIDGE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183656 | Peter Shamamian | Surgery | 3400 Bainbridge Ave, 4th Floor, Bronx, NY 10467-2404 | 2005-09-08 |
| 1538714449 | Jeff Philip | Physician Assistant | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2019-08-07 |
| 1366006660 | Virginia Hong | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2019-04-23 |
| 1376028514 | Brittani Lanae Turner | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-10-02 |
| 1881179802 | Olsjon Shperdheja | Physician Assistant | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-09-25 |
| 1881170595 | Ida Rampersad | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-07-16 |
| 1265937890 | Araceli Estrada-ortega | Dietitian, Registered | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-03-26 |
| 1265969133 | Kimberly Wallace | Registered Nurse | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2017-05-22 |
| 1124570528 | Andrea Feghali | Nurse Practitioner | 3400 Bainbridge Ave, 3rd Floor, Bronx, NY 10467-2404 | 2016-11-01 |
| 1902356207 | Rachel Lindsay Miller | Physician Assistant | 3400 Bainbridge Ave, Floor 3, Bronx, NY 10467-2404 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 207WX0110X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Pediatric Ophthalmology and Strabismus Specialist |
| An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851865513 | Capital Region Pediatric Medical Eye Consultant, Pllc | Ophthalmology | 1220 New Scotland Rd Ste 202, Slingerlands, NY 12159-9386 | 2019-01-16 |
| 1437100682 | Lederman and Lederman LLP | Ophthalmology | 3020 Westchester Avenue, Suite 402, Purchase, NY 10577-2561 | 2006-05-12 |
| 1538640594 | Pediatric Ophthalmic Care PC | Ophthalmology | 40 W 72nd St, New York, NY 10023-4119 | 2018-08-27 |
| 1801914783 | Dawn P Rush, Md Pllc | Ophthalmology | 2649 Strang Blvd, Suite 203, Yorktown Heights, NY 10598-2939 | 2007-03-27 |
| 1679663660 | Richard Levy | Ophthalmology | 1305 York Ave, 11th Floor, New York, NY 10021-5663 | 2006-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.