MIJA PARK NP
NPI 1396677407
Nurse Practitioner - Family in Woodside, NY
About Mija Park Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIJA PARK NP (NPI 1396677407) is an individual family provider in Woodside, New York, licensed in New York (F359461) and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses
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 Mija Park's NPI number?
The NPI number for Mija Park is 1396677407. It was assigned to this individual provider in the NPPES registry on June 2, 2026.
Where is Mija Park located?
Mija Park practices at 4124 50th St Apt 6E, Woodside, NY 11377. The listed phone number is (347) 777-6130.
What is Mija Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Mija Park was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Mija Park, NP · NPI 1396677407
Family physician in Woodside, New York. Individual provider, active in the CMS NPPES registry since June 2, 2026.
## Identity
- **NPI:** 1396677407 (Entity type: Individual)
- **Enumerated:** June 2, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F359461 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4124 50TH ST APT 6E, Woodside, NY 11377-4318
- **Phone:** (347) 777-6130
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396677407) · Data from the CMS NPPES public registry.