JUNG PARK


Address: 255 Whitney Ave Apt 34, New Haven, CT 06511-3751
Phone: 2134467808

JUNG PARK (NPI# 1225569817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225569817
Entity Type Individual
Full Name JUNG PARK
Practice Address 255 Whitney Ave Apt 34
New Haven
CT 06511-3751
Practice Telephone 2134467808
Mailing Telephone 2134467808
Enumeration Date 2017-03-24
Last Update Date 2017-03-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JUNG PARK

NPI Name Taxonomy Address Enumeration
1336681238 Jung Park Acupuncturist 308 Preston Ave, Pasadena, TX 77503-1215 2016-11-08
1275783813 Jung Sun Park Dentist 1860 Alcatraz, Berkeley, CA 94703 2008-09-19
1194919209 Jung Hoon Park Dentist 5249 Duke St Ste 210, Alexandria, VA 22304-2907 2007-08-31
1124006523 Jung I. Park Specialist 8825 Crestwood Ave, Munster, IN 46321-2711 2006-01-05
1942291638 Jung Tae Park Family Medicine 13851 Highway 28, Whitwell, TN 37397-5373 2005-11-02
1679004873 Jung Mi Park Hospitalist 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 2017-03-21
1417302621 Jung Park Technician/Technologist 11112 Atlantic Ave, South Richmond Hill, NY 11419-1158 2016-04-26
1053601161 Jung Eun Park Pediatrics 6345 Center Dr Bldg 14, Norfolk, VA 23502-4105 2011-04-10
1174855738 Jung Park Internal Medicine 8110 Woodman Ave, Panorama City, CA 91402 2010-02-08
1659517902 Jung Park Orthopaedic Surgery 3401 N Broad St, Outpatient Building 6th Fl., Philadelphia, PA 19140-5103 2008-12-16

Office Location

Street Address 255 WHITNEY AVE APT 34
City NEW HAVEN
State CT
Zip Code 06511-3751

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330571 Allison Elizabeth Pratt Occupational Therapist 625 Whitney Ave, Apt 5, New Haeven, CT 06511 2020-09-11
1881213346 Sarah Bleicher Registered Nurse Yale Health, 55 Lock St, New Haven, CT 06511 2020-04-14
1083268395 Danielle Lee Mcpherson Pharmacist Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 2019-07-25
1528533866 Alexia Levin Social Worker 98/100 York St, New Haven, CT 06511 2018-10-12
1861970097 Orthocare Medical Equipment LLC Durable Medical Equipment & Medical Supplies 1450 Chapel St Ste Sg15, New Haven, CT 06511 2018-07-31
1609352418 Susannah Frew Social Worker 2 Eld Street, Apt 6, New Haven, CT 06511 2018-07-15
1851881965 Empowerment Counseling Services, LLC Counselor 427 Dixwell Ave, New Haven, CT 06511 2018-05-14
1487173951 Karine Giasson-gariepy Student in an Organized Health Care Education/Training Program Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 2017-09-15
1568980696 Anna Reutenauer Dentist 123 York St Ste 4l, New Haven, CT 06511 2017-09-08
1083134753 Darin Dolezal Student in an Organized Health Care Education/Training Program 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 2017-06-23
Find all providers in zip 06511

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861019689 Mallori Wisuri Student in an Organized Health Care Education/Training Program 14505 Old 24 E, New Haven, IN 46774-9013 2020-06-27
1952920019 Nazli Dizman Student in an Organized Health Care Education/Training Program 20 York St Tompkins 226, New Haven, CT 06510-3220 2020-04-09
1972132314 Ross David Logan Student in an Organized Health Care Education/Training Program 20 York St Ste 226, New Haven, CT 06510-3220 2020-04-07
1194354043 Christian Keene Student in an Organized Health Care Education/Training Program 625 Orange St Apt 43, New Haven, CT 06511-3840 2020-04-03
1639706146 Kevin Jiang Student in an Organized Health Care Education/Training Program 330 Orchard St Ste 207, New Haven, CT 06511-4429 2020-03-25
1144855263 Daniel Jacobs Student in an Organized Health Care Education/Training Program 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 2020-03-09
1275166407 Joshua Braden Student in an Organized Health Care Education/Training Program 32277 Salt River Cir N, New Haven, MI 48048-3331 2020-02-17
1871125401 Taylor Alexandra Babin Student in an Organized Health Care Education/Training Program 166 Hall St, New Haven, CT 06512-3148 2020-02-11
1952962649 Su Jung Kim Student in an Organized Health Care Education/Training Program 111 Park St Apt 12t, New Haven, CT 06511-5421 2019-06-24
1144880691 Durga Thakral Student in an Organized Health Care Education/Training Program 367 Cedar St Ste 317, New Haven, CT 06510-3222 2019-06-17
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06511

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Dataset Information

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.

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