Ji Young Park, NP
NPI 1609687508 · Adult Health Nurse Practitioner · New Hyde Park, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ji Young Park, NP is a Adult Health Nurse Practitioner provider in New Hyde Park, NY (NPI 1609687508).
Provider details
- NPI number
- 1609687508
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 684423 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-01-20
- Last updated
- 2025-06-22
- Certified
- 2025-06-22
Frequently asked questions
- What is Ji Young Park's NPI number?
- Ji Young Park's National Provider Identifier (NPI) is 1609687508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ji Young Park's specialty?
- Ji Young Park is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ji Young Park located?
- Ji Young Park's practice location on file with NPPES is 23 Lawrence St, New Hyde Park, NY 11040-1720.
- What is Ji Young Park's phone number?
- The practice phone number listed in the NPPES registry for Ji Young Park is (516) 417-7248.
- Does Ji Young Park accept Medicare?
- Ji Young Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ji Young Park's NPI active?
- Yes — Ji Young Park's NPI (1609687508) is active in the NPPES registry as of the last update on 2025-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.