MRS. JI YOUNG PARK NP NPI 1609687508

NPI Information

  • NPI: 1609687508
  • Provider Name: MRS. JI YOUNG PARK, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 23 LAWRENCE ST
    NEW HYDE PARK, NY
    ZIP 11040
  • Phone: (516) 417-7248

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NPI Details

MRS. Ji Young Park, NP is an adult health nurse practitioner in New Hyde Park, NY. MRS. Ji Young Park, NP NPI is 1609687508. 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:

23 LAWRENCE ST
NEW HYDE PARK, NY
ZIP 11040-720
Phone: (516) 417-7248

The enumeration date for this NPI number is 1/20/2025 and was last updated on 6/22/2025.

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
1163WP0808XRegistered NursePsychiatric/Mental Health684423NEW YORKNo
2363LA2200XNurse PractitionerAdult HealthF311044-01NEW YORKYes

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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