JEMIN PARK MD
NPI 1013583228
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since May 28, 2021
330 BROOKLINE AVE, BOSTON, MA 02215(617) 632-9236 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jemin Park Md NPPES

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

JEMIN PARK MD (NPI 1013583228) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (288245) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1013583228
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEMIN PARKCredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5491
Mailing Address330 Brookline AveBoston, MA 02215-5400
Sole ProprietorNo
Enumeration DateMay 28, 2021
NPPES CertifiedMay 28, 2021
NPI 1013583228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MA · 288245
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.

330 BROOKLINE AVE, Boston, MA 02215

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.

Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215

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 Jemin Park's NPI number?

The NPI number for Jemin Park is 1013583228. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Jemin Park located?

Jemin Park practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-9236.

What is Jemin 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 Jemin Park was last updated on May 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.