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DR. JOON PARK M.D.
NPI 1205095924
Family Medicine in Astoria, NY

Active since June 06, 2008
4904 19TH AVE, ASTORIA, NY 11105(347) 774-7000 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joon Park M.d. NPPES

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

DR. JOON PARK M.D. (NPI 1205095924) is an individual family medicine provider in Astoria, New York, licensed in New York (255691) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1205095924
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOON PARKCredential: M.D.
Location Address4904 19TH AVEAstoria, NY 11105-1002
Mailing Address4904 19th AveAstoria, NY 11105-1002 · (347) 774-7000
Phone(347) 774-7000
Sole ProprietorYes
Enumeration DateJune 6, 2008
Last NPPES UpdateDecember 19, 2014
✔ NPI 1205095924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 255691
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4904 19TH AVE, Astoria, NY 11105
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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.

JEAN LUC BERNARD RPA
Physician Assistant
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
JOSEPH MCCREADY RPA
Physician Assistant
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
ARLIE MASSILLON RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
JANICE COLLEY RPA
Physician Assistant
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. TADEUSZ WITKOWSKI MD
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
SANDRA MCEACHRANCE DDS
Dentist
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
MS. ALICIA NICHOLLS RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
KRISTINA BADALOVA PHYSICIAN ASSISTANT
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (347) 774-7000

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 Joon Park's NPI number?

The NPI number for Joon Park is 1205095924. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Joon Park located?

Joon Park practices at 4904 19th Ave, Astoria, NY 11105. The listed phone number is (347) 774-7000.

What is Joon Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Joon Park was last updated on December 19, 2014. 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.