JIYEON PARK
NPI 1457018384
Nurse Practitioner - Adult Health in Astoria, NY

Q: What is Jiyeon Park's NPI number?

The NPI number for Jiyeon Park is 1457018384. It was assigned to this individual provider in the NPPES registry on November 27, 2021.

Q: What is Jiyeon Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jiyeon Park was last updated on November 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 27, 2021

2534 CRESCENT ST APT 2E, ASTORIA, NY 11102(718) 730-2601 Get Directions Write a Review

NPPES record last updated: November 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jiyeon Park NPPES

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

JIYEON PARK (NPI 1457018384) is an individual adult health provider in Astoria, New York, licensed in New York (F310534-01) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1457018384

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJIYEON PARK

Location Address2534 CRESCENT ST APT 2EAstoria, NY 11102-2925

Mailing Address2534 Crescent St Apt 2eAstoria, NY 11102-2925 · (718) 730-2601

Phone(718) 730-2601

Sole ProprietorNo

Enumeration DateNovember 27, 2021

NPPES CertifiedNovember 27, 2021

✔ NPI 1457018384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F310534-01

2534 CRESCENT ST APT 2E, Astoria, NY 11102

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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 Jiyeon Park's NPI number?

The NPI number for Jiyeon Park is 1457018384. It was assigned to this individual provider in the NPPES registry on November 27, 2021.

Where is Jiyeon Park located?

Jiyeon Park practices at 2534 Crescent St Apt 2E, Astoria, NY 11102. The listed phone number is (718) 730-2601.

What is Jiyeon Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jiyeon Park was last updated on November 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.