Justin Changgyu Park, is a
Acupuncturist based in Brooklyn, New York. Justin Changgyu Park is licensed to practice in New York (license number 5412) and his current practice location is
500 Dekalb Ave Ste 321, Brooklyn, New York. He can be reached at his office (for appointments etc.) via phone at
(646) 498-3398.
NPI number for Justin Changgyu Park is 1033516737 and his current mailing address is Po Box 604246, Bayside, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033516737.
Healthcare Provider's Profile
| Full Name | Justin Changgyu Park |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 500 Dekalb Ave Ste 321, Brooklyn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033516737
- Provider Enumeration Date: 11/24/2014
- Last Update Date: 04/15/2026
Medical Identifiers
Medical identifiers for Justin Changgyu Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033516737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | X014050 (New York) | Secondary |
| 171100000X | Acupuncturist | 5412 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Changgyu Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Justin Changgyu Park, Po Box 604246, Bayside, NY 11360-4246 Ph: (646) 498-3398 | Justin Changgyu Park, 500 Dekalb Ave Ste 321, Brooklyn, NY 11205-4808 Ph: (646) 498-3398 |
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