Organization
PROMEDEX. INC
Active
Organization
PROMEDEX. INC
Active
Other names
Procare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONG KU PARK (PRESIDENT)
(718) 939-4008
Entity
Organization
Contact information
Practice address
136-71 41AVE, FLUSHING, NY 11355-2433
(718) 939-4008
(718) 939-5508
Mailing address
136-71 41AVE, FLUSHING, NY 11355-2433
(718) 939-4008
(718) 939-5508
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
C49901
—
2251X0800X
Orthopedic Physical Therapist
C0002130
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02709800
—
NY
Enumeration date
12/26/2006
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up