MS. EUNIE PARK PPCNP-BC
NPI 1487037719
Nurse Practitioner - Pediatrics in Brooklyn, NY

Q: 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.

Q: What is Eunie 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 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.

Active since July 06, 2015PECOS Enrolled

374 STOCKHOLM ST, BROOKLYN, NY 11237(718) 963-7272 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1487037719

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. EUNIE PARKCredential: PPCNP-BC

Location Address374 STOCKHOLM STBrooklyn, NY 11237-4006

Mailing Address13624 Maple Ave, #6eFlushing, NY 11355-3854 · (646) 338-1509

Phone(718) 963-7272

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 6, 2015

✔ NPI 1487037719 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 NY · 382558

374 STOCKHOLM ST, Brooklyn, NY 11237

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Eunie Park Ppcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698083129

PECOS Enrollment IDI20260512001871

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 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.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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.

GABY DABOUL M.D

General Acute Care Hospital

374 STOCKHOLM ST
BROOKLYN, NY 11237

Kings County (718) 963-7272

AMIT DHALIWAL MD

Internal Medicine (Infectious Disease)

374 STOCKHOLM ST
BROOKLYN, NY 11237

Kings County (718) 963-7272

SAMER ATTIA MD

Internal Medicine

374 STOCKHOLM ST
BROOKLYN, NY 11237

Kings County (718) 963-6466

TECIA MADURIE RN

Registered Nurse

374 STOCKHOLM ST
BROOKLYN, NY 11237

Kings County (718) 501-1983

DR. FARIDEH ZONOUZI-ZADEH M.D.

Family Medicine

374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237

Kings County (718) 963-6551

DR. BALA KRISHNA BABJI RAVI M.D.

Obstetrics & Gynecology

374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237

Kings County (718) 963-6551

DIANE CHRIST P.A.

Physician Assistant

374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH
BROOKLYN, NY 11237

Kings County (718) 963-6551

MRS. BHAKTI SHAH RPA-C

Physician Assistant

374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT-SUITE I37N
BROOKLYN, NY 11237

Kings County (914) 654-6543

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.

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.