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JASON S PARK MD, PHARMD
NPI 1528656170
Dermatology in New York, NY

Active since January 08, 2021PECOS Enrolled
161 FT WASHINGTON AVE, NEW YORK, NY 10032(212) 305-5293 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, May 10, 2023, Jan 8, 2021 (3 updates tracked since 2021).

About Jason S Park Md, Pharmd NPPES

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

JASON S PARK MD, PHARMD (NPI 1528656170) is an individual dermatology provider in New York, New York, licensed in New York (332539-01) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528656170
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJASON S PARKCredential: MD, PHARMD
Location Address161 FT WASHINGTON AVENew York, NY 10032
Mailing Address161 Ft Washington AveNew York, NY 10032-3729 · (212) 305-5293
Phone(212) 305-5293
Sole ProprietorNo
Enumeration DateJanuary 8, 2021
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1528656170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 332539-01
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPharmacistTaxonomy 183500000X · License RP446664 (PA)
Also ListedInternal MedicineTaxonomy 207R00000X · License MT227888 (PA)
161 FT WASHINGTON AVE, New York, NY 10032
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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)

Jason S Park Md, Pharmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL HARVEY WECHSLER MD
Urology
161 FT WASHINGTON AVE, ROOM 324
NEW YORK, NY 10032
New York County (212) 305-5311

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 Jason Park's NPI number?

The NPI number for Jason Park is 1528656170. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Jason Park located?

Jason Park practices at 161 Ft Washington Ave, New York, NY 10032. The listed phone number is (212) 305-5293.

What is Jason Park's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jason Park enrolled in Medicare?

Yes. Jason Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Park was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.