DR. JOON PARK (NPI# 1205095924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205095924 |
| Entity Type | Individual |
| Full Name | DR. JOON PARK |
| Credential | M.D. |
| Practice Address |
4904 19th Ave Astoria NY 11105-1002 |
| Practice Telephone | 3477747000 |
| Mailing Telephone | 3477747000 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 255691 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953127 | Joon Park | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-07-09 |
| 1952861213 | Joon Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2019-03-22 |
| 1295251106 | Joon Park | Dentist | 687 E Linton Ave, Springfield, IL 62703-5902 | 2017-08-22 |
| 1982022737 | Joon Suk Park | Internal Medicine | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2014-03-30 |
| 1891052882 | Joon Hyung Park | Dentist | 1001 Clifton Ave, Clifton, NJ 07013-3586 | 2012-04-16 |
| 1700031952 | Joon H Park | General Practice | 430 W Centre Ave, Portage, MI 49024 | 2008-12-01 |
| 1972798452 | Joon Y Park | Physical Therapist | 3545 Wilshire Blvd Ste 250, Los Angeles, CA 90010-2389 | 2007-09-07 |
| 1699894709 | Joon Sung Park | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
| 1447314331 | Joon Hong Park | Allergy & Immunology | 75 Crystal Run Rd, Suite 220, Middletown, NY 10941-7000 | 2006-12-22 |
| 1881626224 | Joon Il Park | Internal Medicine | 8830 Long Point, Suite 402, Houston, TX 77055 | 2006-07-07 |
| Street Address |
4904 19TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992723753 | Aung Khine Oo | Internal Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2006-07-18 |
| 1689067019 | Christopher Wayne Johnson | Counselor | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-03-10 |
| 1437547957 | Brian Michael Burns | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-06 |
| 1700274305 | James Patrick Cassar | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-05 |
| 1770980252 | Corizon | Community/Behavioral Health | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-11-26 |
| 1609276534 | Adem Martin Geraghty | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-08-28 |
| 1477973519 | Christine Edmondson | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-04-16 |
| 1356778591 | Christopher Wayne Chan | Pharmacist | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-10-02 |
| 1356783476 | Anna T Richards | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-07-18 |
| 1669817938 | Correctional Medical Associates of Newyork, P.C. | Pharmacy | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| Find all providers in zip 11105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902169832 | Lynn S Chung | Family Medicine | 2248 31st St, Astoria, NY 11105-2714 | 2012-06-15 |
| 1710137344 | Sanjiv Chopra | Family Medicine | 3231 Steinway St, Astoria, NY 11103-4005 | 2008-09-18 |
| 1992962112 | John Fkiaras | Family Medicine | 2070 42nd St, Astoria, NY 11105-1224 | 2008-05-16 |
| 1619152188 | Rebecca Rueppel | Family Medicine | 2158 Exchange St Ste 304, Astoria, OR 97103-3316 | 2008-01-03 |
| 1508047226 | Kevin Baxter Do PC | Family Medicine | 553 18th St, Astoria, OR 97103-3505 | 2007-11-21 |
| 1902000995 | Richard Di Fiore | Family Medicine | 3033 Steinway St, Astoria, NY 11103 | 2007-06-13 |
| 1780707125 | George Costa Fisher | Family Medicine | 2233 33rd St, Astoria, NY 11105-2402 | 2007-04-09 |
| 1366563207 | Anastassios Kassapidis | Family Medicine | 2318 28th St, Astoria, NY 11105-2802 | 2007-04-02 |
| 1851442560 | Sabine M Fednard | Family Medicine | 3080 21st St, 2nd Fl., Astoria, NY 11102-3671 | 2007-01-16 |
| 1528121753 | Matthew Alan Theophilus Clarke | Family Medicine | 3051 36th St, Astoria, NY 11103-4704 | 2006-12-19 |
| Find all providers in ASTORIA | ||||
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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.