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DONG SOON PARK D.C.
NPI 1912297516
Chiropractor in Brooklyn, NY

Active since April 15, 2011
7003 FORT HAMILTON PKWY, BROOKLYN, NY 11228(718) 333-5603(718) 333-5604 Get Directions Write a Review

NPPES record last updated: March 18, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dong Soon Park D.c. NPPES

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

DONG SOON PARK D.C. (NPI 1912297516) is an individual chiropractor in Brooklyn, New York, licensed in Iowa (007077) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1912297516
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDONG SOON PARKCredential: D.C.
Location Address7003 FORT HAMILTON PKWYBrooklyn, NY 11228-1103
Mailing Address4569 Parsons Blvd, 2nd FloorFlushing, NY 11355-2253 · (563) 209-3619
Phone(718) 333-5603
Fax(718) 333-5604
Sole ProprietorNo
Enumeration DateApril 15, 2011
Last NPPES UpdateMarch 18, 2012
✔ NPI 1912297516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IA · 007077✔ Licensed in NY · 011699-1✔ Licensed in PA · DC010548, AJ010340✔ Licensed in IL · 038011972
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.
7003 FORT HAMILTON PKWY, Brooklyn, NY 11228
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dong Soon Park D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Dong Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dongsoon Park,d.C,p.C.
Same address
Chiropractor
7003 FORT HAMILTON PKWY
Brooklyn, NY 11228
  • Reassigned Medicare billing, New York enrollment
NPI 1255606455 (718) 333-5603

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

DONGSOON PARK,D.C,P.C.
Chiropractor
7003 FORT HAMILTON PKWY
BROOKLYN, NY 11228
Kings County (718) 333-5603
DONGWAN HONG DPT
Physical Therapist
7003 FORT HAMILTON PKWY
BROOKLYN, NY 11228
Kings County (718) 333-5603
FOREST ACUPUNCTURE P.C
Health Maintenance Organization
7003 FORT HAMILTON PKWY
BROOKLYN, NY 11228
Kings County (718) 333-5603

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 Dong Park's NPI number?

The NPI number for Dong Park is 1912297516. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Dong Park located?

Dong Park practices at 7003 Fort Hamilton Pkwy, Brooklyn, NY 11228. The listed phone number is (718) 333-5603.

What is Dong Park's specialty?

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

Is Dong Park enrolled in Medicare?

Yes. Dong Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dong Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dong Park reassigns Medicare benefits to Dongsoon Park,d.C,p.C. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dong Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dong Park was last updated on March 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.