TAEHYUN PARK PMHNP
NPI 1235798844
Nurse Practitioner - Psychiatric/Mental Health in Sunnyside, NY

Q: What is Taehyun Park's NPI number?

The NPI number for Taehyun Park is 1235798844. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Q: What is Taehyun Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Taehyun Park was last updated on June 7, 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.

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment

4115 45TH ST APT 3J, SUNNYSIDE, NY 11104(917) 714-8916 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Taehyun Park Pmhnp NPPES

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

TAEHYUN PARK PMHNP (NPI 1235798844) is an individual psychiatric/mental health provider in Sunnyside, New York, licensed in New York (F402603) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235798844

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTAEHYUN PARKCredential: PMHNP

Location Address4115 45TH ST APT 3JSunnyside, NY 11104-1922

Mailing Address4115 45th St Apt 3jSunnyside, NY 11104-1922 · (917) 714-8916

Phone(917) 714-8916

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 7, 2019

✔ NPI 1235798844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F402603

4115 45TH ST APT 3J, Sunnyside, NY 11104

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taehyun Park Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052646353

PECOS Enrollment IDI20190709001837

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11104 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

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 Taehyun Park's NPI number?

The NPI number for Taehyun Park is 1235798844. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Taehyun Park located?

Taehyun Park practices at 4115 45th St Apt 3J, Sunnyside, NY 11104. The listed phone number is (917) 714-8916.

What is Taehyun Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Taehyun Park enrolled in Medicare?

Yes. Taehyun Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Taehyun Park was last updated on June 7, 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.