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SAMUEL PARK MD, PLLC
NPI 1225587793
Internal Medicine in Mineola, NY

Active since September 26, 2016
160 1ST ST UNIT 551, MINEOLA, NY 11501(516) 619-8098 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2019, May 29, 2019, Mar 27, 2018 and 1 more (4 updates tracked since 2016).

About Samuel Park Md, Pllc NPPES

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

SAMUEL PARK MD, PLLC (NPI 1225587793) is a healthcare organization registered as an internal medicine in Mineola, New York and active in the NPI registry since September 2016. The organization lists Samuel J Park, President, as its authorized official.

NPPES Registry Identity

NPI1225587793
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSAMUEL PARK MD, PLLC
Location Address160 1ST ST UNIT 551Mineola, NY 11501-5025
Mailing Address160 1st St Unit 551Mineola, NY 11501-5025 · (516) 619-8098
Phone(516) 619-8098
Organization SubpartNo
Authorized OfficialSamuel J ParkPresident · (516) 619-8098
Enumeration DateSeptember 26, 2016
Last NPPES UpdateJune 6, 20194 updates tracked since enumeration
✔ NPI 1225587793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedPediatricsTaxonomy 208000000X
160 1ST ST UNIT 551, Mineola, NY 11501
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL JOON PARK M.D.
Internal Medicine
160 1ST ST UNIT 551
MINEOLA, NY 11501
Nassau County (516) 619-8098

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 Samuel Park MD, PLLC's NPI number?

The NPI number for Samuel Park MD, PLLC is 1225587793. It was assigned to this organization in the NPPES registry on September 26, 2016.

Where is Samuel Park MD, PLLC located?

Samuel Park MD, PLLC is located at 160 1st St Unit 551, Mineola, NY 11501. The listed phone number is (516) 619-8098.

What is Samuel Park MD, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Park MD, PLLC was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.