IndividualActive
Michelle Park
NPI 1811721434 · Specialist · Bayside, NY
Michelle Park is a Specialist provider in Bayside, NY (NPI 1811721434).
Provider details
- NPI number
- 1811721434
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
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
83% 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
21510 Northern Blvd Ste 202
Bayside, NY 11361-3497
Phone: (718) 631-1034
Street-level locationGet directions
Mailing address
21410 15th Ave Apt 2e
Bayside, NY 11360-2217
Registry dates
- Enumerated
- 2024-08-27
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Michelle Park's NPI number?
- Michelle Park's National Provider Identifier (NPI) is 1811721434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Park's specialty?
- Michelle Park is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Michelle Park located?
- Michelle Park's practice location on file with NPPES is 21510 Northern Blvd Ste 202, Bayside, NY 11361-3497.
- What is Michelle Park's phone number?
- The practice phone number listed in the NPPES registry for Michelle Park is (718) 631-1034.
- Is Michelle Park's NPI active?
- Yes — Michelle Park's NPI (1811721434) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.