DR. BRIAN PARK (NPI# 1689842379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689842379 |
Entity Type | Individual |
Full Name | DR. BRIAN PARK |
Credential | DDS |
Practice Address |
325 Meeting House Ln Bldg #2 Suite 401 Southampton NY 11968-5087 |
Mailing Address |
31 Martin Pl Syosset NY 11791-6712 |
Practice Telephone | 6312830352 |
Mailing Telephone | 7189265398 |
Enumeration Date | 2008-02-14 |
Last Update Date | 2009-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
051949 | NY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407333990 | Brian Park | Dentist | 5607 Uvalde Rd # G, Houston, TX 77049-4523 | 2018-07-26 |
1811014467 | Brian Keith Park | Home Health Aide | 477 White Pond Dr, Apt 421, Akron, OH 44320-1121 | 2007-03-26 |
1215027008 | Brian Park | Radiology | Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001 | 2006-10-13 |
1467011775 | Brian Park | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-06-10 |
1598225070 | Brian Sooman Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-6082 | 2019-03-21 |
1417451170 | Brian H Park | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2018-03-19 |
1144757162 | Brian Park | Neurological Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2017-05-22 |
1942737697 | Brian Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-05-12 |
1710418744 | Brian Lim Park | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029 | 2017-03-22 |
1497203947 | Brian Park | Dentist | 11727 Whittier Blvd, Whittier, CA 90601-3939 | 2016-09-13 |
Street Address |
325 MEETING HOUSE LN BLDG #2 SUITE 401 |
City | SOUTHAMPTON |
State | NY |
Zip Code | 11968-5087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841290608 | Louis M Goldblum | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968 | 2005-07-22 |
1700323326 | Sara Procak | Physician Assistant | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2017-01-20 |
1699189191 | Hamptons Vein & Vascular PC | Specialist | 325 Meeting House Ln, Bldg 1, Suite A, Southampton, NY 11968-5087 | 2014-06-12 |
1538503487 | James Wai | Internal Medicine | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968 | 2013-04-22 |
1295964740 | Southampton Physical Therapy PC | Clinic/Center | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2009-07-06 |
1659508570 | Rajeev Santiago Fernando | Internal Medicine | 325 Meeting House Ln, Building #2, Southampton, NY 11968-5087 | 2009-06-18 |
1730325721 | Thelma Barker Gaetano | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2008-12-23 |
1134385909 | Olga L Mcabee | Psychiatry & Neurology | 325 Meeting House Ln, Bldg #2 1st Suite 301, Southampton, NY 11968-5087 | 2008-07-31 |
1013182591 | Lawrence J Tarasuk | Surgery | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968-5087 | 2008-04-25 |
1225210164 | Sheppard Webb | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2007-12-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
Find all providers in zip 11968 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184286064 | Katherine M Habbel | Dentist | 57 Street Rd Ste M, Southampton, PA 18966-3100 | 2019-07-01 |
1306402524 | Miracle Dental Center | Dentist | 963 Street Rd # A, Southampton, PA 18966-4728 | 2019-05-13 |
1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
1093042681 | Rajashekar K Reddy | Dentist | 730 2nd Street Pike, Southampton, PA 18966-3961 | 2009-11-03 |
1124290663 | Daniel Joseph Mcgarrigan Jr. | Dentist | 662 Belmont Ave, Southampton, PA 18966 | 2008-03-25 |
1871770909 | Eric Friedman | Dentist | 1045 Street Rd, Southampton, PA 18966-4232 | 2008-01-31 |
1942496344 | Southampton Family Dentistry, LLC | Dentist | 4 Line Street, Southampton, MA 01073 | 2007-09-19 |
1114136785 | Lewis William Wright | Dentist | 491 Hampton Rd, Southampton, NY 11968-3004 | 2007-05-21 |
1457566366 | Neal L Freedman | Dentist | 604 Lakeside Drive, Southampton, PA 18966 | 2007-05-14 |
1356556476 | Teresa Anita Debernardis | Dentist | 816 2nd St Pike, A, Southampton, PA 18966-3951 | 2007-05-11 |
Find all providers in SOUTHAMPTON |
City | SOUTHAMPTON |
Zip Code | 11968 |
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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.