TAE K PARK (NPI# 1336230259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336230259 |
| Entity Type | Individual |
| Full Name | TAE K PARK |
| Credential | M.D. |
| Practice Address |
724 8th Ave Brooklyn NY 11215-4204 |
| Practice Telephone | 7187688111 |
| Practice Fax Number | 7187688111 |
| Mailing Telephone | 7187688111 |
| Mailing Fax Number | 7187688111 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
152709 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00775604 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710273156 | Tae Sook Park | Acupuncturist | 903 S. Crenshaw Blvd, 302, Los Angeles, CA 90019 | 2011-06-23 |
| 1790870996 | Tae H Park | Dentist | 1875 E Alluvial Ave, Suite 102, Fresno, CA 93720-3856 | 2006-10-04 |
| 1376560805 | Tae Sung Park | Neurological Surgery | 1 Childrens Pl Fl 1, 1st Fl, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1346297660 | Tae J. Park | Internal Medicine | 512 W Rosedale St, Fort Worth, TX 76104-4619 | 2006-05-30 |
| 1538133020 | Tae Won Park | Psychiatry & Neurology | 1547 S Wayne Rd, Westland, MI 48186 | 2006-02-14 |
| 1275015364 | Tae Park | Pharmacist | 1640 Hopkins Rd, Williamsville, NY 14221-1752 | 2018-09-05 |
| 1669751772 | Tae E Park | Pharmacist | 230 Park Ave, M-sp1-01, Florham Park, NJ 07901 | 2011-08-05 |
| 1093940249 | Tae Keun Park | Emergency Medicine | 300 Community Dr, Department of Emergency Medicine, Manhasset, NY 11030-3816 | 2009-05-18 |
| 1043308984 | Tae Park | Pharmacist | 1450 Chapel St, Pharmacy Department, New Haven, CT 06511-4405 | 2006-10-10 |
| 1932141942 | Tae Park | Radiology | University Hospital L2, Stony Brook, NY 11794-0001 | 2006-06-12 |
| Street Address |
724 8TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11215-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
| 1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
| 1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
| 1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
| 1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
| 1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
| 1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
| 1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
| 1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
| 1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
| Find all providers in zip 11215 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1215222005 | Jason William Steinberg | Internal Medicine | 1523 Voorhies Ave Fl 3, Brooklyn, NY 11235-3912 | 2011-06-09 |
| 1013214535 | Songchuan Guo | Internal Medicine | 757 60th St Fl 5, Brooklyn, NY 11220-4209 | 2011-02-18 |
| 1528216264 | Valeria Kreyner | Internal Medicine | 500 4th Avneue, Suite 1, Brooklyn, NY 11215 | 2008-09-06 |
| 1962663674 | Nidhi Mishra | Internal Medicine | 395 Lenox Road, Suny Downstate Medical Center, Brooklyn, NY 11203-2098 | 2008-06-24 |
| 1699945642 | San San Wynn, M.d., P.C. | Internal Medicine | 723 E 87th St, Brooklyn, NY 11236-3620 | 2008-03-05 |
| 1942491337 | Mikhail Khazan | Internal Medicine | 2626 Kings Hwy Apt 4b, Brooklyn, NY 11229-1777 | 2007-08-09 |
| 1184835035 | Jason Parker Gonsky | Internal Medicine | 451 Clarkson Ave Building A Fl 7, Kings County Hospital Center, Brooklyn, NY 11203-2054 | 2007-05-24 |
| 1669579652 | Phyllis S. Hyde | Internal Medicine | 46 Livingston St, Brooklyn, NY 11201-4812 | 2006-09-20 |
| Find all providers in BROOKLYN | ||||
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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.