DR. JEAN YOUNG PARK (NPI# 1306048087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306048087 |
| Entity Type | Individual |
| Full Name | DR. JEAN YOUNG PARK |
| Credential | M.D. |
| Practice Address |
664 Stoneleigh Ave Ste. 300 Carmel NY 10512-3940 |
| Practice Telephone | 8452788400 |
| Practice Fax Number | 8452784326 |
| Mailing Telephone | 8452788400 |
| Mailing Fax Number | 8452784326 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
234055 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176228 | Jean Park | Occupational Therapist | 1000 Claremont Rd, Carlisle, PA 17013-7310 | 2018-12-27 |
| 1508229832 | Jean Park | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2016-04-04 |
| 1205098183 | Jean Park | Obstetrics & Gynecology | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2008-07-01 |
| 1861512592 | Jean Young Park | Internal Medicine | 5601 Loch Raven Blvd, Russell Morgan Bldg., 3rd Floor, Baltimore, MD 21239-2905 | 2007-03-29 |
| 1437293461 | Jean Kim Park | Counselor | 111 N La Brea Ave, Suite 700, Inglewood, CA 90301-1752 | 2007-02-15 |
| Street Address |
664 STONELEIGH AVE STE. 300 |
| City | CARMEL |
| State | NY |
| Zip Code | 10512-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435549 | Michael L Bernstein | Specialist | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3990 | 2005-05-31 |
| 1942840822 | Carolyn Winuk | Physical Therapist | 664 Stoneleigh Ave, Carmel, NY 10512-3940 | 2020-01-08 |
| 1740746775 | Health Quest Medical Practice, PC | Internal Medicine | 664 Stoneleigh Ave, Carmel, NY 10512-3940 | 2019-02-14 |
| 1104369909 | Laura Klein | Nurse Practitioner | 664 Stoneleigh Ave, Ste 300, Carmel, NY 10512-3940 | 2016-11-28 |
| 1548652985 | Lauren Laurelli | Nurse Practitioner | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3940 | 2015-02-23 |
| 1770905523 | Nicole D Martinelli | Physician Assistant | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3940 | 2014-01-14 |
| 1578814133 | Giacinta Boulos | Physician Assistant | 664 Stoneleigh Ave, Suite 300, Carmel, NY 10512-3940 | 2012-09-24 |
| 1760786537 | Donna Jurus-difabio | Physical Therapist | 664 Stoneleigh Ave, Suite 203, Carmel, NY 10512-3940 | 2011-01-07 |
| 1336443365 | Lynette Lombardo | Occupational Therapist | 664 Stoneleigh Ave, 2nd Floor/suite 203, Carmel, NY 10512-3940 | 2011-01-05 |
| 1134423643 | Kirsi Elise Vera | Physical Therapist | 664 Stoneleigh Ave, Carmel, NY 10512-3940 | 2010-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706272 | Health Quest Medical Practice, PC | Family Medicine | 150 Route 52-metabolic Program, Carmel, NY 10512 | 2020-10-08 |
| 1487282950 | Daniel Bryan Rush | Student in an Organized Health Care Education/Training Program | Putnam Hospital Center, 660 Stonrlrigh Avenue, Carmel Hamlet, NY 10512 | 2020-03-31 |
| 1083139521 | Colette Mignogna | Physical Therapist | 902 Vista On The Lake, Carmel, NY 10512 | 2017-08-06 |
| 1366965543 | Amanda Marie Santangelo | Speech-Language Pathologist | 281 Daisy Lane, Carmel, NY 10512 | 2017-07-19 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1356702369 | Terry-ann Mclennon | Social Worker | 494 Nimham Rd, Kent Lakes, NY 10512 | 2016-03-18 |
| 1033529698 | Daisy Lee | Dentist | 667 Stoneleigh Ave Ste 301, Carmel, NY 10512 | 2014-05-05 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1588901185 | Robyn Weindel | Speech-Language Pathologist | 2506 Kings Way, Carmel, NY 10512 | 2013-01-16 |
| 1447509641 | Rachael Palmer Jones | Registered Nurse | 670 Stoneleigh Ave Ste C-122, Carmel, NY 10512 | 2012-09-04 |
| Find all providers in zip 10512 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069599 | Health Quest Medical Practice, PC | Internal Medicine | 664 Stoneleigh Ave Ste 100, Carmel, NY 10512-3990 | 2019-02-19 |
| 1598737066 | Matthew Herbert Ornstein | Internal Medicine | 672 Stoneleigh Ave, Caremount Medical PC, Carmel, NY 10512-4634 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195077 | New York Rheumatology Care, PC | Internal Medicine | 1020 Park Ave Fl 1, New York, NY 10028-0913 | 2020-05-08 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1730601196 | New York University | Internal Medicine | 333 East 38th Street, New York, NY 10016 | 2017-07-07 |
| 1023539566 | New York University | Internal Medicine | 233 Broadway Ste 620, New York, NY 10279-0001 | 2017-07-06 |
| 1851846240 | Bernard Joffe | Internal Medicine | 10 Paula Pl, Chappaqua, NY 10514-1632 | 2016-08-16 |
| 1811377989 | Liliya Gandrabur | Internal Medicine | 4422 Third Ave Mills Bldg 3rd Fl, Dept of Internal Medicine, Bronx, NY 10457 | 2015-06-04 |
| 1568859007 | Varun Bhalla | Internal Medicine | 17 E 102nd St Ste 4d, New York, NY 10029 | 2015-04-22 |
| 1992195283 | Northeast Rheumatology PC | Internal Medicine | 85-49 Eliot Avenue Unit G, Rego Park, NY 11374 | 2015-01-26 |
| 1679962542 | Craig Smuda | Internal Medicine | 324 E 23rd St Fl 1, New York, NY 10010-4701 | 2015-01-15 |
| 1174927925 | Bradley Schlussel | Internal Medicine | 424 W Park Ave, 2nd Floor, Long Beach, NY 11561-3129 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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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.