DR. INNJEA PARK DPM
NPI 1174907992
Podiatrist - Foot & Ankle Surgery in Staten Island, NY

NPI Status: Active since July 10, 2015

Contact Information

1042 HUGUENOT AVE
STATEN ISLAND, NY
ZIP 10312
Phone: (917) 796-1693

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 11
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About INNJEA PARK

This page provides the complete NPI Profile along with additional information for Innjea Park, a provider established in Staten Island, New York with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 11 years of experience. He graduated from New York College Of Podiatric Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1174907992 assigned on July 2015. The practitioner's primary taxonomy code is 213ES0103X with license number N006887 (NY). The provider is registered as an individual and his NPI record was last updated May 2025.

NPI
1174907992
Provider Name
DR. INNJEA PARK DPM
Gender
Male
Entity Type
Individual
Location Address
1042 HUGUENOT AVE STATEN ISLAND, NY 10312
Location Phone
(917) 796-1693
Mailing Address
1042 HUGUENOT AVE STATEN ISLAND, NY 10312
Mailing Phone
(917) 796-1693
Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
07-10-2015
Last Update Date
05-07-2025
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
N006887
License State
NY

Medicare Participation & PECOS Enrollment Status

Innjea Park is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Innjea Park is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860742020

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180910000684

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 25 times for 19 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 18 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 224 times for 88 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 17 times for 17 patients

Removal of fingernails or toenails, 6 or more nails

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

This service was performed 49 times for 37 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 33 times for 21 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Innjea Park is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WYCKOFF HEIGHTS MEDICAL CENTER374 STOCKHOLM STREET
BROOKLYN, NY 11237
(718) 963-7272Acute Care Hospitals

Reviews for DR. INNJEA PARK DPM

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174907992
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114418014918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 8 + 0 + 1 + 4 + 9 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1174907992 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

DR. MARIANNE LANTS D.P.M.

Podiatrist

(Foot Surgery)

1042 HUGUENOT AVE
STATEN ISLAND, NY
ZIP 10312

(718) 948-3838

MARIANNE LANTS DPM, P.C.

Podiatrist

(Foot & Ankle Surgery)

1042 HUGUENOT AVE
STATEN ISLAND, NY
ZIP 10312

(718) 948-3838

PHYSICIANS OF UNIVERSITY HOSPITAL PC

Allergy & Immunology

1042 HUGUENOT AVE
STATEN ISLAND, NY
ZIP 10312

(718) 317-7556

MBIP PODIATRY P.C.

Podiatrist

(Foot & Ankle Surgery)

1042 HUGUENOT AVE
STATEN ISLAND, NY
ZIP 10312

(718) 317-5215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174907992, enumerated as an "individual" on July 10, 2015.

The provider is located at 1042 HUGUENOT AVE STATEN ISLAND, NY 10312 and the phone number is (917) 796-1693.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

Innjea Park is affiliated with: WYCKOFF HEIGHTS MEDICAL CENTER.