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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERRENCE PARK
NPI 1063866689
Podiatrist - Foot & Ankle Surgery in Elmhurst, NY

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
5910 JUNCTION BLVD, ELMHURST, NY 11373(201) 916-0735 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jul 18, 2022, May 9, 2022 (3 updates tracked since 2022).

About Terrence Park NPPES

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

TERRENCE PARK (NPI 1063866689) is an individual foot & ankle surgery provider in Elmhurst, New York, licensed in New York (N007212-01) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1063866689
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTERRENCE PARK
Location Address5910 JUNCTION BLVDElmhurst, NY 11373-5156
Mailing Address5910 Junction BlvdElmhurst, NY 11373-5156 · (201) 916-0735
Phone(201) 916-0735
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1063866689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · N007212-01
5910 JUNCTION BLVD, Elmhurst, NY 11373
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terrence Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002156643
PECOS Enrollment IDI20220204001696
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
123 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services31 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
84 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

Other Providers at the Same Location NPPES 16

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

DR. KOSHI A PADNANI M.D.
Internal Medicine
5910 JUNCTION BLVD
ELMHURST, NY 11373
Queens County (718) 592-3200
MANOJ BORA
Physical Therapist
5910 JUNCTION BLVD
ELMHURST, NY 11373
Queens County (718) 255-6999
ST ANTHONY MEDICAL SERVICES PC
Physical Medicine & Rehabilitation
5910 JUNCTION BLVD
ELMHURST, NY 11373
Queens County (718) 833-9148
MANUELA QUICENO QUINTERO PA
Physician Assistant (Medical)
5910 JUNCTION BLVD
FLUSHING, NY 11373
Queens County (718) 592-3200
JUAN ABEL ROMERO LOOR SR. PA-C
Allergy & Immunology (Allergy)
5910 JUNCTION BLVD
ELMHURST, NY 11373
Queens County (718) 592-3200
ELINA KAZIYEVA
Nurse Practitioner (Family)
5910 JUNCTION BLVD
ELMHURST, NY 11373
Queens County (718) 592-3200
SAM HANNA P.T.
Specialist
5910 JUNCTION BLVD
ELMHURST, NY 11373
Queens County (917) 545-9249
MR. NEEMA SHERPA LAMA PA-C
Physician Assistant
5910 JUNCTION BLVD
ELMHURST, NY 11373
Queens County (718) 592-3200

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 Terrence Park's NPI number?

The NPI number for Terrence Park is 1063866689. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Terrence Park located?

Terrence Park practices at 5910 Junction Blvd, Elmhurst, NY 11373. The listed phone number is (201) 916-0735.

What is Terrence Park's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Terrence Park enrolled in Medicare?

Yes. Terrence Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Terrence Park was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.