JAYSON PARK MD
NPI 1154304681
Internal Medicine in New York, NY

Q: What is Jayson Park's NPI number?

The NPI number for Jayson Park is 1154304681. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Q: What is Jayson Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jayson Park was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 29, 2005

10 UNION SQ E, SUITE 3G, NEW YORK, NY 10003(212) 844-8100 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jayson Park Md NPPES

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

JAYSON PARK MD (NPI 1154304681) is an individual internal medicine provider in New York, New York, licensed in New York (213251) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1154304681

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJAYSON PARKCredential: MD

Location Address10 UNION SQ E, SUITE 3GNew York, NY 10003-3314

Mailing AddressP.o. Box 95000-2432Philadelphia, PA 19195-2432 · (212) 844-8100

Phone(212) 844-8100

Sole ProprietorNo

Enumeration DateNovember 29, 2005

Last NPPES UpdateJuly 26, 2012

✔ NPI 1154304681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 213251

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10 UNION SQ E, New York, NY 10003

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Other Identifiers 2

Medicaid02006706NY

Medicare ID-Type Unspecified50C571NY

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.

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