JAE KWAN PARK
NPI 1578229324
Acupuncturist in Little Neck, NY

Q: What is Jae Kwan Park's NPI number?

The NPI number for Jae Kwan Park is 1578229324. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Q: What is Jae Kwan Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Kwan Park was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since November 15, 2021

5715 256TH ST, LITTLE NECK, NY 11362(917) 545-3143 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jae Kwan Park NPPES

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

JAE KWAN PARK (NPI 1578229324) is an individual acupuncturist in Little Neck, New York, licensed in New York (005860) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1578229324

Entity TypeIndividualMale

Primary Taxonomy171100000X

Provider Legal NameJAE KWAN PARK

Location Address5715 256TH STLittle Neck, NY 11362-2140

Mailing Address5715 256th StLittle Neck, NY 11362-2140 · (917) 545-3143

Phone(917) 545-3143

Sole ProprietorYes

Enumeration DateNovember 15, 2021

NPPES CertifiedNovember 15, 2021

✔ NPI 1578229324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in NY · 005860

Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

5715 256TH ST, Little Neck, NY 11362

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Jae Kwan Park's NPI number?

The NPI number for Jae Kwan Park is 1578229324. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Jae Kwan Park located?

Jae Kwan Park practices at 5715 256th St, Little Neck, NY 11362. The listed phone number is (917) 545-3143.

What is Jae Kwan Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Jae Kwan Park accept?

Health plans from Providence Health Plan list Jae Kwan Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Kwan Park was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.