DR. JIN PATRICK PARK MD
NPI 1053948034
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 27, 2020
505 E 70TH ST, NEW YORK, NY 10021(212) 746-2900 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jin Patrick Park Md NPPES

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

DR. JIN PATRICK PARK MD (NPI 1053948034) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1053948034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JIN PATRICK PARKCredential: MD
Location Address505 E 70TH STNew York, NY 10021-4872
Mailing Address505 E 70th StNew York, NY 10021-4872 · (212) 746-2900
Sole ProprietorNo
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
NPI 1053948034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
505 E 70TH ST, New York, NY 10021

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.

Student in an Organized Health Care Education/Training Program
505 E 70TH ST, 505 E 70TH ST
NEW YORK, NY 10021
Student in an Organized Health Care Education/Training Program
505 E 70TH ST
NEW YORK, NY 10021
Nurse Practitioner (Pediatrics)
505 E 70TH ST, BOX 279
NEW YORK, NY 10021
Internal Medicine
505 E 70TH ST
NEW YORK, NY 10021
Student in an Organized Health Care Education/Training Program
505 E 70TH ST
NEW YORK, NY 10021
Internal Medicine (Medical Oncology)
505 E 70TH ST
NEW YORK, NY 10021
Internal Medicine
505 E 70TH ST
NEW YORK, NY 10021
Internal Medicine
505 E 70TH ST
NEW YORK, NY 10021

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 Jin Park's NPI number?

The NPI number for Jin Park is 1053948034. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Jin Park located?

Jin Park practices at 505 E 70th St, New York, NY 10021. The listed phone number is (212) 746-2900.

What is Jin 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 Jin Park was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.