DR. JISOO PARK D.O
NPI 1497133813
Psychiatry & Neurology - Psychiatry in New York, NY
About Dr. Jisoo Park D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JISOO PARK D.O (NPI 1497133813) is an individual psychiatry provider in New York, New York, licensed in New York (297072) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Nova Southeastern College Of Osteo Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jisoo Park D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10001 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.
NEW YORK, NY 10001
NEW YORK, NY 10001
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 Jisoo Park's NPI number?
The NPI number for Jisoo Park is 1497133813. It was assigned to this individual provider in the NPPES registry on May 18, 2015.
Where is Jisoo Park located?
Jisoo Park practices at 109 W 27th St Ste 5S, New York, NY 10001. The listed phone number is (833) 351-8255.
What is Jisoo Park's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Jisoo Park enrolled in Medicare?
Yes. Jisoo Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jisoo Park was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Jisoo Park, D.O · NPI 1497133813
Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 18, 2015.
## Identity
- **NPI:** 1497133813 (Entity type: Individual)
- **Enumerated:** May 18, 2015
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 297072 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 109 W 27TH ST STE 5S, New York, NY 10001-6208
- **Phone:** (833) 351-8255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2015
## Record status
- **NPPES last updated:** October 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497133813) · Data from the CMS NPPES public registry.