DR. KYLE YOONHO PARK (NPI# 1346603388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346603388 |
| Entity Type | Individual |
| Full Name | DR. KYLE YOONHO PARK |
| Credential | MD |
| Practice Address |
1 Robert Wood Johnson Pl New Brunswick NJ 08901 |
| Mailing Address |
712 Howard St Teaneck NJ 07666-5353 |
| Practice Telephone | 7328283000 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
1346603388 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Dept of Medicine Hsc Level 16, Suny Stony Brook Hospital, Stony Brook, NY 117940001 | 6314442058 | 6314442493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609062488 | Kyle K Park | Family Medicine | 107 Houpt Drive, Upper Sandusky, OH 43351-9201 | 2007-09-14 |
| 1548382112 | Kyle Kyunghyun Park | Chiropractor | 5540 Almaden Expy, San Jose, CA 95118-3605 | 2007-04-04 |
| Street Address |
1 ROBERT WOOD JOHNSON PL |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243375 | Robert Wood Johnson University Hospital, Inc | General Acute Care Hospital | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2005-05-23 |
| 1902405640 | Ellena Curden | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-23 |
| 1659979912 | Wen Liu | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-09 |
| 1255938700 | Dashmeet Singh | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-07 |
| 1801403977 | Sarah Medhat Labib | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-23 |
| 1639783830 | Sara R Owen | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1265046379 | James Pimentel | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1356952295 | Xinyuan Hu | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-13 |
| 1215547716 | Sean Michael Etheridge | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-09 |
| 1497372841 | Benjamin Jared Lichtbroun | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| 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 |
|---|---|---|---|---|
| 1093970022 | Sangeetha Pabolu | Internal Medicine | 254 Easton Ave, New Brunswick, NJ 08901 | 2008-07-18 |
| 1003981648 | Robert Louis Wong | Internal Medicine | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2006-11-21 |
| 1790850444 | Leonard Sigal | Internal Medicine | 125 Paterson St, Clinical Academic Building - Suite 5200a, New Brunswick, NJ 08901-1962 | 2006-11-21 |
| 1063587749 | Randall M Stevens | Internal Medicine | 125 Paterson St, Clinical Academic Building - Suite 5200a, New Brunswick, NJ 08901-1962 | 2006-11-21 |
| 1003988635 | Rutgers Health-rwj Rheumatology | Internal Medicine | 125 Paterson St, Suite 5200a, New Brunswick, NJ 08901-1962 | 2006-11-15 |
| 1942373592 | Rutgers Health-rwj Scleroderma Program | Internal Medicine | 125 Paterson St, Suite 5200a, New Brunswick, NJ 08901-1962 | 2006-11-15 |
| 1457424020 | Naomi Schlesinger | Internal Medicine | 125 Paterson St, Clinical Academic Building - Suite 5200a, New Brunswick, NJ 08901-1962 | 2006-11-15 |
| 1992875421 | Vivien Hsu | Internal Medicine | 125 Paterson St, Clinical Academic Building - Suite 5200a, New Brunswick, NJ 08901-1962 | 2006-11-09 |
| 1437229143 | Lori Ann Cox | Internal Medicine | 125 Paterson St, Clinical Academic Building - Suite 5200a, New Brunswick, NJ 08901-1962 | 2006-11-09 |
| 1700969771 | Victor S Sloan | Internal Medicine | 125 Paterson St, Division of Rheumatology, New Brunswick, NJ 08901 | 2006-10-23 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.