Victoria Jeong Park Dds PC (NPI# 1811600091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1811600091 |
| Entity Type | Organization |
| Organization Name | VICTORIA JEONG PARK DDS PC |
| Practice Address |
47 E 77th St Ste 207 New York NY 10075-1730 |
| Practice Telephone | 6462842169 |
| Mailing Address |
47 E 77th St Ste 207 New York NY 10075-1730 |
| Authorized Official Name | Dr. Victoria Park (OWNER) |
| Authorized Official Telephone | 6462842169 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 1223P0700X | Dentist · Prosthodontics | Dental Providers |
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063129179 | Claudio Franco | 150 E 58th St Ste 3200, New York, NY 10155-3299 | 2022-10-31 | |
| 1194479386 | Hayleen E Moran | 54 Warren St, New York, NY 10007-1078 | 2022-02-07 | |
| 1821688169 | Harrison Isaac Spatz | 1275 York Ave, New York, NY 10065-6007 | 2021-01-20 | |
| 1053927624 | Victor Yin Yu Lee | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 | |
| 1679185540 | Farien Franklin | 110 E 40th St Rm 104, New York, NY 10016-1819 | 2020-08-20 | |
| 1972111441 | Lex Prosthodontics, Pllc | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 | |
| 1437767936 | Gramercy Prosthodontics, Pllc | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 | |
| 1770134728 | Seung Jun Song | 622 W 168th St, New York, NY 10032-3720 | 2019-09-20 | |
| 1922658483 | Mina M Bishara | 80 Park Ave, New York, NY 10016-2553 | 2019-09-17 | |
| 1013565266 | Laura Koo Min Chee | 110 E 40th St Rm 104, New York, NY 10016-1819 | 2019-08-30 | |
| Find all providers in NEW YORK | ||||
| Street Address |
47 E 77TH ST STE 207 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689935389 | Victoria Jeong Park | 47 E 77th St Ste 207, New York, NY 10075-1730 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033822143 | Darius Kohan Md PC | 863 Park Ave Ofc 1e, New York, NY 10075-0380 | 2023-01-04 | |
| 1902519143 | Elizabeth Wilner | 200 E 78th St Ste 1a, New York, NY 10075-2010 | 2023-01-03 | |
| 1609587294 | Laura Sayre Caskey | 211 E 79th St, New York, NY 10075-0819 | 2022-12-06 | |
| 1760192405 | Ryan Sheridan | 100 E 77th St, New York, NY 10075-1850 | 2022-12-05 | |
| 1598475279 | Remmy Peterson | 111 E 80th St Apt 1b, New York, NY 10075-0350 | 2022-12-02 | |
| 1225748577 | Vanessa Phillips | 100 E 77th St, New York, NY 10075-1850 | 2022-11-28 | |
| 1639888126 | Urooj Pakal | 211 E 79th St, New York, NY 10075-0819 | 2022-11-23 | |
| 1467160879 | Solomon Kamkhaji | 1401 3rd Ave, New York, NY 10075-0502 | 2022-11-14 | |
| 1558078444 | Jeffrey Kevin Riley | 955 5th Ave, New York, NY 10075-1738 | 2022-11-01 | |
| 1194432229 | Raquel Blair Gindi-kolker | 130 E 77th St, New York, NY 10075-1851 | 2022-10-28 | |
| Find all providers in zip 10075 | ||||
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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.