DR. SUNG-MIN PARK (NPI# 1407293913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407293913 |
| Entity Type | Individual |
| Full Name | DR. SUNG-MIN PARK |
| Credential | M.D., PH.D. |
| Practice Address |
800 Howard Ave Lowr Level New Haven CT 06519 |
| Mailing Address |
800 Howard Ave Lowr Level New Haven CT 06519-1369 |
| Practice Telephone | 9174945429 |
| Mailing Telephone | 9174945429 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
63838 | CT | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A135313 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, Nyu Langone Medical Center, New York, NY 100166402 | 2122635506 | |
| 800 Howard Ave Lowr Level, New Haven, CT 06519 | 9174945429 |
| Street Address |
800 HOWARD AVE LOWR LEVEL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587830 | Donald Rowe Lannin | Surgery | 800 Howard Ave Lowr Level, Yale Physicians Building, New Haven, CT 06519-1369 | 2005-12-05 |
| 1467945675 | Carmen I Carrion | Clinical Neuropsychologist | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2018-06-12 |
| 1619315991 | Jeffrey J Dewey | Psychiatry & Neurology | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2013-06-10 |
| 1053654939 | Richa Sharma | Psychiatry & Neurology | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2013-03-29 |
| 1801146980 | Arman Fesharaki-zadeh | Psychiatry & Neurology | 800 Howard Ave Lowr Level, New Haven, CT 06519 | 2012-09-14 |
| 1629325394 | Bhaskar Roy | Psychiatry & Neurology | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2012-08-13 |
| 1639444862 | Sara Maguire Schaefer | Psychiatry & Neurology | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2012-03-21 |
| 1790063899 | Aline Herlopian | Psychiatry & Neurology | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2011-07-25 |
| 1497045264 | Eyiyemisi Damisah | Neurological Surgery | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2011-04-14 |
| 1285946061 | Carolyn Anne Fredericks | Psychiatry & Neurology | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2010-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| 1629344676 | Kevin Thomas Gobeske | Psychiatry & Neurology | 20 York St. Yale-new Haven Hospital, Yale Neurology - Ynhh (inpatient Only), New Haven, CT 06510-3220 | 2012-03-23 |
| 1144457755 | Jennifer Lea Dearborn-tomazos | Psychiatry & Neurology | 15 York Street, LLCi 912, Yale University Department of Neurology, New Haven, CT 06520-3221 | 2009-06-22 |
| 1285809749 | Ayse Sule Tinaz | Psychiatry & Neurology | 800 Howard Ave # Ll, New Haven, CT 06519-1369 | 2008-04-25 |
| 1912175134 | Antonio Marcilio Padula Omuro | Psychiatry & Neurology | 35 Park St Fl 8, New Haven, CT 06519-1110 | 2008-02-11 |
| 1558543686 | Mary Bailey | Psychiatry & Neurology | 40 Temple St Lowr Level, New Haven, CT 06510-2715 | 2007-11-30 |
| 1477620540 | Paul Greene | Psychiatry & Neurology | 800 Howard Ave Ste Lower, New Haven, CT 06519 | 2006-11-30 |
| 1134210289 | Roslyn Posner Einbinder | Psychiatry & Neurology | 60 Temple Street, Suite 4e, New Haven, CT 06510-2716 | 2006-09-27 |
| 1124089123 | Martin Tolar | Psychiatry & Neurology | 800 Howard Ave Ypb-3, Yale Univ School of Medicine, New Haven, CT 06510 | 2006-03-29 |
| 1699253591 | Saud Alhusaini | Psychiatry & Neurology | 20 York St, New Haven, CT 06510-3220 | 2018-08-02 |
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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.