JUNGJAE PARK DDS
NPI 1528412434
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 17, 2016
630 W 168TH ST, NEW YORK, NY 10032(212) 305-7626 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jungjae Park Dds NPPES

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

JUNGJAE PARK DDS (NPI 1528412434) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1528412434
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUNGJAE PARKCredential: DDS
Location Address630 W 168TH STNew York, NY 10032-3725
Mailing Address622 W 168th StNew York, NY 10032-3720
Sole ProprietorNo
Enumeration DateApril 17, 2016
Last NPPES UpdateApril 13, 2017
NPI 1528412434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
630 W 168TH ST, New York, NY 10032

Accepted Insurance

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.

Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
Internal Medicine
630 W 168TH ST, BB 2-239
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST
NEW YORK, NY 10032
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
Hospitalist
630 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
Dentist (Prosthodontics)
630 W 168TH ST, PH7 - 318 D
NEW YORK, NY 10032
Registered Nurse
630 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032

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 Jungjae Park's NPI number?

The NPI number for Jungjae Park is 1528412434. It was assigned to this individual provider in the NPPES registry on April 17, 2016.

Where is Jungjae Park located?

Jungjae Park practices at 630 W 168th St, New York, NY 10032. The listed phone number is (212) 305-7626.

What is Jungjae Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Jungjae Park accept?

Health plans from Humana list Jungjae Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jungjae Park was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.