WON JUN PARK (NPI# 1144645979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144645979 |
| Entity Type | Individual |
| Full Name | WON JUN PARK |
| Credential | M.D. |
| Practice Address |
353 E 17th St 2nd Floor, Room 223 New York NY 10003-3821 |
| Mailing Address |
350 Cold Spring Rd Syosset NY 11791-1804 |
| Practice Telephone | 2124203743 |
| Mailing Telephone | 6462845152 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 280926 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
280926 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
353 E 17TH ST 2ND FLOOR, ROOM 223 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326070855 | Sonjay B Shrinivas | Hospitalist | 353 E 17th St, Apt# 20e, New York, NY 10003-3821 | 2006-07-07 |
| 1790169969 | Reuven Stott | Student in an Organized Health Care Education/Training Program | 353 E 17th St, New York, NY 10003-3821 | 2015-07-16 |
| 1417331018 | Gabriela Lameiras Moura | Physician Assistant | 353 E 17th St, New York, NY 10003-3821 | 2015-07-13 |
| 1386025708 | Katie O'grady | Family Medicine | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2015-06-11 |
| 1962880526 | Perry Fisher | Student in an Organized Health Care Education/Training Program | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2015-05-14 |
| 1396122859 | Caren Waintraub | Student in an Organized Health Care Education/Training Program | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2015-05-04 |
| 1265819155 | Jeffrey Ma | Student in an Organized Health Care Education/Training Program | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2015-04-30 |
| 1992182018 | Michael Chai | Student in an Organized Health Care Education/Training Program | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2015-04-27 |
| 1992191571 | Michael Ma | Hospitalist | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2015-04-10 |
| 1629464318 | Julieanne Patricia Ball | Emergency Medicine | 353 E 17th St, 2nd Floor, Room 223, New York, NY 10003-3821 | 2015-04-09 |
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|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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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.