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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAESUNG PARK DC
NPI 1295365849
Chiropractor in New York, NY

Active since January 23, 2020
42 BROADWAY STE 1219, NEW YORK, NY 10004(929) 412-2654 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2026, Jan 23, 2020 (2 updates tracked since 2020).

About Jaesung Park Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAESUNG PARK DC (NPI 1295365849) is an individual chiropractor in New York, New York, licensed in New York (013393) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1295365849
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJAESUNG PARKCredential: DC
Location Address42 BROADWAY STE 1219New York, NY 10004-3834
Mailing Address1077 River Rd Apt 1008Edgewater, NJ 07020-1357 · (475) 988-7695
Phone(929) 412-2654
Sole ProprietorYes
Enumeration DateJanuary 23, 2020
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1295365849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in NY · 013393✔ Licensed in NJ · 38MC00767600
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
42 BROADWAY STE 1219, New York, NY 10004
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALL STREET WELLNESS CHIROPRACTIC P.C.
Chiropractor
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (929) 412-2654
DONGHWAN PARK
Physical Therapist
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (917) 592-2207
YOUNGSU NA PHYSICAL THERAPY PC
Physical Therapist
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (718) 886-3531
DONGHWAN PARK PHYSICAL THERAPY PC
Physical Therapist
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (917) 592-2207
YOUNGSU NA PT
Physical Therapist
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (929) 412-2654
AKARI ACUPUNCTURE WELLNESS P.C.
Acupuncturist
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (929) 412-2654
WELLNESS OF WALL STREET PHYSICAL THERAPY, P.C.
Physical Therapist
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (929) 412-2654
FIDI WELLNESS CHIROPRACTIC P.C.
Chiropractor
42 BROADWAY STE 1219
NEW YORK, NY 10004
New York County (929) 412-2654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaesung Park's NPI number?

The NPI number for Jaesung Park is 1295365849. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Jaesung Park located?

Jaesung Park practices at 42 Broadway Ste 1219, New York, NY 10004. The listed phone number is (929) 412-2654.

What is Jaesung Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jaesung Park was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.