1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Physician Assistant
  6. NPI Profile

MIN JIN PARK
NPI 1164809604
Physician Assistant - Medical in Flushing, NY

Active since May 05, 2015
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Min Jin Park NPPES

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

MIN JIN PARK (NPI 1164809604) is an individual medical provider in Flushing, New York, licensed in New York (018276) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1164809604
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMIN JIN PARK
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address5645 Main StFlushing, NY 11355-5045
Phone(718) 670-2000
Sole ProprietorNo
Enumeration DateMay 5, 2015
✔ NPI 1164809604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 018276
5645 MAIN ST, Flushing, NY 11355
Open in Google Maps ↗

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.

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Min Jin Park's NPI number?

The NPI number for Min Jin Park is 1164809604. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Min Jin Park located?

Min Jin Park practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Min Jin 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 Min Jin Park was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.