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JOO-EUN SAMUEL PARK MD
NPI 1003519844
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY

Active since March 22, 2023
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-5382 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joo-eun Samuel Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOO-EUN SAMUEL PARK MD (NPI 1003519844) is an individual student in an organized health care education/training program in New Hyde Park, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1003519844
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOO-EUN SAMUEL PARKCredential: MD
Location Address27005 76TH AVENew Hyde Park, NY 11040-1402
Mailing Address27005 76th AveNew Hyde Park, NY 11040-1402 · (718) 470-5382
Phone(718) 470-5382
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1003519844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

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.

27005 76TH AVE, New Hyde Park, NY 11040
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YELENA PYATOV MD
Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7700
DR. FARHEEN HASAN MD
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
LONG ISLAND JEWISH MEDICAL CENTER
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7875
ELIZABETH ALISON HOWSE M.D.
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
ANDY CHOY MD
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nassau County (973) 692-8694
JOANNA M MIDY WHNP
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-5304
XIXI XU
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
TYLER WEINSTEIN
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joo-eun Park's NPI number?

The NPI number for Joo-eun Park is 1003519844. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Joo-eun Park located?

Joo-eun Park practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-5382.

What is Joo-eun Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Joo-eun Park was last updated on March 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.