Active NPIIndividual provider

Chun Hyung Park, DC

Chiropractor in Bayside, New York

NPI Number1740683663
Practice location
21519 39TH Ave Unit 3, Bayside, NY 11361-2114
Fax
—
Last updated
April 21, 2020

Chun Hyung Park is a Chiropractor based in Bayside, NY. Chun Hyung Park practices in Bayside, NY and has the professional credentials of DC. The NPI Number for Chun Hyung Park is 1740683663 and holds a License No. 38MC00718200 (NJ). The current practice location address for Chun Hyung Park is 21519 39TH Ave Unit 3, Bayside, NY 11361-2114 and can be reached out via phone at 201-994-6485.

Provider Profile Details

NPI Number
1740683663
Provider Name
Chun Hyung Park
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
21519 39TH Ave Unit 3, Bayside, NY 11361-2114
Phone Number
201-994-6485
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2014
Last Update Date
April 21, 2020
Certification Date
April 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
21519 39TH Ave Unit 3
Bayside, NY 11361-2114
Zip
11361-2114
Phone Number
201-994-6485
Bayside, NY 11361Get directions →

Provider Business Mailing Address Details

Address
35 Irving Ave
Englewood Cliffs, NJ 07632-1435
City
Englewood Cliffs
State
NJ
Zip
07632-1435
Phone Number
201-994-6485

License Information

License Number (1)
38MC00718200
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
X012779-1
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Chun Hyung Park, DC?

The NPI number of Chun Hyung Park, DC is 1740683663. It was assigned on October 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Chun Hyung Park, DC?

Chun Hyung Park, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00718200.

Where does Chun Hyung Park, DC practice?

The practice location is 21519 39TH Ave Unit 3, Bayside, NY 11361-2114. The office can be reached at 201-994-6485 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740683663 directly on the NPPES registry website.

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