EUNJIN PARK PA
NPI 1124078449
Physician Assistant - Medical in Greenwich, CT

Active since May 10, 2006
5 PERRYRIDGE RD, GREENWICH, CT 06830(914) 282-9880 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eunjin Park Pa NPPES

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

EUNJIN PARK PA (NPI 1124078449) is an individual medical provider in Greenwich, Connecticut, licensed in Connecticut (002071) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1124078449
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEUNJIN PARKCredential: PA
Location Address5 PERRYRIDGE RDGreenwich, CT 06830-4608
Mailing Address5 Perryridge RdGreenwich, CT 06830-4608 · (914) 282-9880
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 8, 2014
NPI 1124078449 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 · 002071
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00138500 (NJ), 009684 (NY)
5 PERRYRIDGE RD, Greenwich, CT 06830

Other Identifiers 2

Medicare UPINQ24183
Medicare PIN089380NJ

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.

Pediatrics (Neonatal-Perinatal Medicine)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD, MEDICAL EDUCATION
GREENWICH, CT 06830
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD
GREENWICH, CT 06830
Physician Assistant
5 PERRYRIDGE RD
GREENWICH, CT 06830
Pharmacist (Pharmacotherapy)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Nurse Anesthetist, Certified Registered
5 PERRYRIDGE RD
GREENWICH, CT 06830
Anesthesiology
5 PERRYRIDGE RD
GREENWICH, CT 06830
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD
GREENWICH, CT 06830

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 Eunjin Park's NPI number?

The NPI number for Eunjin Park is 1124078449. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Eunjin Park located?

Eunjin Park practices at 5 Perryridge Rd, Greenwich, CT 06830. The listed phone number is (914) 282-9880.

What is Eunjin 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 Eunjin Park was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.