Jaehyoung Park
NPI 1578220638 · Physician Assistant · Flushing, NY
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaehyoung Park is a Physician Assistant provider in Flushing, NY (NPI 1578220638).
Provider details
- NPI number
- 1578220638
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 030454 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-23
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Frequently asked questions
- What is Jaehyoung Park's NPI number?
- Jaehyoung Park's National Provider Identifier (NPI) is 1578220638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaehyoung Park's specialty?
- Jaehyoung Park is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jaehyoung Park located?
- Jaehyoung Park's practice location on file with NPPES is 14647 27th Ave, Flushing, NY 11354-1427.
- What is Jaehyoung Park's phone number?
- The practice phone number listed in the NPPES registry for Jaehyoung Park is (347) 371-2103.
- Does Jaehyoung Park accept Medicare?
- Jaehyoung Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaehyoung Park's NPI active?
- Yes — Jaehyoung Park's NPI (1578220638) is active in the NPPES registry as of the last update on 2023-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.