MS. EUNIE PARK PPCNP-BC
NPI 1487037719
Nurse Practitioner - Pediatrics in Brooklyn, NY
About Ms. Eunie Park Ppcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. EUNIE PARK PPCNP-BC (NPI 1487037719) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (382558) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Eunie Park Ppcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Eunie Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11237
- Reassigned Medicare billing, New York enrollment
- 427 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- 149 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
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 Eunie Park's NPI number?
The NPI number for Eunie Park is 1487037719. It was assigned to this individual provider in the NPPES registry on July 6, 2015.
Where is Eunie Park located?
Eunie Park practices at 374 Stockholm St, Brooklyn, NY 11237. The listed phone number is (718) 963-7272.
What is Eunie Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Eunie Park enrolled in Medicare?
Yes. Eunie Park is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Eunie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eunie Park reassigns Medicare benefits to 3 organizations: Wyckoff Professional Medical Services, PC (Brooklyn, NY), Trustees Of Columbia University In The City Of New York (New York, NY) and Columbia Doctors Of New Jersey, P. C. (Englewood, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eunie Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eunie Park was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Eunie Park, PPCNP-BC · NPI 1487037719
Pediatrics physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since July 6, 2015.
## Identity
- **NPI:** 1487037719 (Entity type: Individual)
- **Enumerated:** July 6, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 382558 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 374 STOCKHOLM ST, Brooklyn, NY 11237-4006
- **Phone:** (718) 963-7272
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Wyckoff Professional Medical Services, PC (NPI 1659710796, Brooklyn, NY); Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY); Columbia Doctors Of New Jersey, P. C. (NPI 1952224370, Englewood, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1487037719) · Data from the CMS NPPES public registry.