HEEJUNG PARK CPNP-PC
NPI 1326822669
Nurse Practitioner - Pediatrics in Glen Burnie, MD

Q: What is Heejung Park's NPI number?

The NPI number for Heejung Park is 1326822669. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Q: What is Heejung Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Heejung Park was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 18, 2023

1403 MADISON PARK DR STE 100, GLEN BURNIE, MD 21061(410) 582-9630 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Heejung Park Cpnp-pc NPPES

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

HEEJUNG PARK CPNP-PC (NPI 1326822669) is an individual pediatrics provider in Glen Burnie, Maryland, licensed in Maryland (R224697) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1326822669

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameHEEJUNG PARKCredential: CPNP-PC

Location Address1403 MADISON PARK DR STE 100Glen Burnie, MD 21061-6292

Mailing Address7710 Hearthside Way Unit 408Elkridge, MD 21075-7605 · (412) 334-2947

Phone(410) 582-9630

Sole ProprietorNo

Enumeration DateAugust 18, 2023

NPPES CertifiedAugust 14, 2023

✔ NPI 1326822669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MD · R224697

1403 MADISON PARK DR STE 100, Glen Burnie, MD 21061

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Other Providers at the Same Location NPPES 2

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

SHAHAB A MALIK MD, LLC.

Pediatrics

1403 MADISON PARK DR STE 100
GLEN BURNIE, MD 21061

Anne Arundel County (410) 582-9630

SHAHAB MALIK MD

Pediatrics (Neonatal-Perinatal Medicine)

1403 MADISON PARK DR STE 100
GLEN BURNIE, MD 21061

Anne Arundel County (410) 582-9630

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 Heejung Park's NPI number?

The NPI number for Heejung Park is 1326822669. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Heejung Park located?

Heejung Park practices at 1403 Madison Park Dr Ste 100, Glen Burnie, MD 21061. The listed phone number is (410) 582-9630.

What is Heejung Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Heejung Park was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.