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JANE PARK
NPI 1174297857
Nurse Practitioner in Bronx, NY

Active since August 05, 2021PECOS Enrolled
4422 3RD AVE, BRONX, NY 10457(718) 960-9000(718) 960-9361 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Aug 5, 2021 (2 updates tracked since 2021).

About Jane Park NPPES

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

JANE PARK (NPI 1174297857) is an individual nurse practitioner in Bronx, New York, licensed in New York (F347367) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174297857
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANE PARK
Location Address4422 3RD AVEBronx, NY 10457-2545
Mailing Address1424 Outlook Ave Apt 1Bronx, NY 10465-1184 · (718) 883-0012 · Fax (718) 960-9361
Phone(718) 960-9000
Fax(718) 960-9361
Sole ProprietorNo
Enumeration DateAugust 5, 2021
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1174297857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F347367
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4422 3RD AVE, Bronx, NY 10457
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NAI LI D.O.
Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
ADERINOLA OMONIYI PHARMD
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6179
CATHERINE AKRAM TAWFIK DO
Dermatology
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6649
VALENTYNA OLINCHUK MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6211
DUSAY SALIH MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
KATHLEEN DIMAGGIO CNM, NP
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9415
DR. ROBERT ADLAI MENKEL M.D.
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
DEEPIKA KURUP
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000

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 Jane Park's NPI number?

The NPI number for Jane Park is 1174297857. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Jane Park located?

Jane Park practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Jane Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jane Park enrolled in Medicare?

Yes. Jane Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jane Park was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.