DR. JEAN YOUNG PARK M.D. NPI 1306048087

NPI Information

  • NPI: 1306048087
  • Provider Name: DR. JEAN YOUNG PARK, M.D.
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Individual
  • Address: 664 STONELEIGH AVE
    STE. 300
    CARMEL, NY
    ZIP 10512
  • Phone: (845) 278-8400

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NPI Details

DR. Jean Young Park, M.D. is a rheumatology internal medicine in Carmel, NY. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Jean Young Park, M.D. NPI is 1306048087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

664 STONELEIGH AVE
STE. 300
CARMEL, NY
ZIP 10512-940
Phone: (845) 278-8400
Fax: (845) 278-4326

The enumeration date for this NPI number is 6/4/2007 and was last updated on 10/8/2013.

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
1207RR0500XInternal MedicineRheumatology234055NEW 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
1A400001625MEDICARE 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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