Provider Type Icon

JAEHYOUNG PARK NPI 1578220638


NPI Information

NPI: 1578220638
Provider Name: JAEHYOUNG PARK
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
14647 27TH AVE
FLUSHING, NY
ZIP 11354
Phone: (347) 371-2103
Get Directions

Jaehyoung Park is a student in an organized health care education training program in Flushing, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jaehyoung Park NPI is 1578220638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14647 27TH AVE
FLUSHING, NY
ZIP 11354-427
Phone: (347) 371-2103

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.