BETSEY PARK PA-C
NPI 1114903101
Physician Assistant - Medical in New Haven, CT

Active since December 21, 2005
20 YORK ST, NEW HAVEN, CT 06510(203) 789-3388 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Betsey Park Pa-c NPPES

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

BETSEY PARK PA-C (NPI 1114903101) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (336) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1114903101
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBETSEY PARKCredential: PA-C
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 789-3388
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateNovember 3, 2017
NPI 1114903101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 336
Also ListedPhysician AssistantTaxonomy 363A00000X · License 000336 (CT)
20 YORK ST, New Haven, CT 06510

Other Identifiers 1

Medicare ID-Type Unspecified970000443CT

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.

Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510

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 Betsey Park's NPI number?

The NPI number for Betsey Park is 1114903101. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Betsey Park located?

Betsey Park practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 789-3388.

What is Betsey Park's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Betsey Park was last updated on November 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.