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OLIVER PARK MD
NPI 1245671635
General Practice in Brooklyn, NY

Active since July 13, 2013
41 FLATBUSH AVE STE 1, BROOKLYN, NY 11217(718) 407-4702(718) 228-8985 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2025, Aug 19, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Oliver Park Md NPPES

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

OLIVER PARK MD (NPI 1245671635) is an individual general practice provider in Brooklyn, New York, licensed in New York (291993) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1245671635
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameOLIVER PARKCredential: MD
Location Address41 FLATBUSH AVE STE 1Brooklyn, NY 11217-1145
Mailing Address41 Flatbush Ave Ste 1Brooklyn, NY 11217-1145 · (718) 407-4702 · Fax (718) 228-8953
Phone(718) 407-4702
Fax(718) 228-8985
Sole ProprietorYes
Enumeration DateJuly 13, 2013
Last NPPES UpdateAugust 7, 20254 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1245671635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 291993
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
41 FLATBUSH AVE STE 1, Brooklyn, NY 11217
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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.

STEPHANIE CACERES-YAGUAL LMHCD
Counselor (Mental Health)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (646) 762-0707
JAVALI AVINENI
Counselor (Professional)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (646) 762-0707
MALIA BROWN
Counselor (Mental Health)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (646) 762-0707
ERICA SELYUKOVA
Counselor (Mental Health)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (646) 762-0707
ODALIS MARISOL CAMPOS
Counselor (Mental Health)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (718) 687-7924
DANA TAGLIN
Counselor (Mental Health)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (646) 762-0707
MEZEGUERRE ALEXANDRE NP
Nurse Practitioner (Family)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (562) 622-2800
ALIZAY BALUCH
Counselor (Mental Health)
41 FLATBUSH AVE STE 1
BROOKLYN, NY 11217
Kings County (646) 762-0707

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 Oliver Park's NPI number?

The NPI number for Oliver Park is 1245671635. It was assigned to this individual provider in the NPPES registry on July 13, 2013.

Where is Oliver Park located?

Oliver Park practices at 41 Flatbush Ave Ste 1, Brooklyn, NY 11217. The listed phone number is (718) 407-4702.

What is Oliver Park's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Oliver Park was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.