SAE JOUN PARK PC NPI 1316260045

NPI Information

  • NPI: 1316260045
  • Provider Name: SAE JOUN PARK PC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 10 MITCHELL AVE
    BINGHAMTON, NY
    ZIP 13903
  • Phone: (607) 762-2020

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NPI Details

SAE JOUN PARK PC is an adult medicine family medicine in Binghamton, NY. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SAE JOUN PARK PC NPI is 1316260045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 MITCHELL AVE
BINGHAMTON, NY
ZIP 13903-617
Phone: (607) 762-2020
Fax: (607) 762-2029

The provider's authorized official is Sae Joun Park .
The authorized official title is President and has the following contact phone number (607) 762-2020.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine110896NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100395675MEDICAIDNEW YORK
2C58751MEDICARE UPINNEW YORK
335053BMEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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