MR. JEFFREY M PARK PA-C
NPI 1376581561
Physician Assistant in Buffalo, NY

Q: What is Jeffrey Park's NPI number?

The NPI number for Jeffrey Park is 1376581561. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is Jeffrey Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Park was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 02, 2006PECOS Enrolled

701 SENECA ST STE 646C, BUFFALO, NY 14210(716) 995-4450 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jeffrey M Park Pa-c NPPES

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

MR. JEFFREY M PARK PA-C (NPI 1376581561) is an individual physician assistant in Buffalo, New York, licensed in New York (007902) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1376581561

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JEFFREY M PARKCredential: PA-C

Location Address701 SENECA ST STE 646CBuffalo, NY 14210-1351

Mailing Address100 High St, Dept. Of Emergency MedicineBuffalo, NY 14203-1126 · (716) 859-1993

Phone(716) 995-4450

Sole ProprietorNo

Enumeration DateJune 2, 2006

Last NPPES UpdateOctober 24, 2019

✔ NPI 1376581561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 007902

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

701 SENECA ST STE 646C, Buffalo, NY 14210

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Secondary Practice Location 1

Location 1100 High St, Emergency Dept.Buffalo, NY 14203-1126 · Phone (716) 859-1993

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey M Park Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BETH LYN VACCARELLI ANP

Nurse Practitioner (Adult Health)