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KATHLEEN SIAPNO PARK M.D.
NPI 1558723254
Pediatrics in Far Rockaway, NY

Active since March 22, 2016PECOS Enrolled
1288 CENTRAL AVE, FAR ROCKAWAY, NY 11691(718) 945-7150 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2019, Mar 22, 2016 (2 updates tracked since 2016).

About Kathleen Siapno Park M.d. NPPES

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

KATHLEEN SIAPNO PARK M.D. (NPI 1558723254) is an individual pediatrics provider in Far Rockaway, New York, licensed in New York (297604-1) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558723254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHLEEN SIAPNO PARKCredential: M.D.
Location Address1288 CENTRAL AVEFar Rockaway, NY 11691-3909
Mailing Address6200 Beach Channel DrArverne, NY 11692-1409
Phone(718) 945-7150
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1558723254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 297604-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1288 CENTRAL AVE, Far Rockaway, NY 11691
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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)

Kathleen Siapno Park M.d. 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 11691 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 7

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

FAR ROCKAWAY VA CLINIC
Clinic/Center (VA)
1288 CENTRAL AVE, 1288 CENTRAL AVE.
FAR ROCKAWAY, NY 11691
Queens County (718) 945-7150
MARIANO ARIEL RIZZO M.D.
Internal Medicine
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 945-7150
DAWN PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 327-1700
MISS MARIA ROMINA GAYETA OLIMBERIO PT
Physical Therapist
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8230
DR. JULITA G. LUMBAB M.D.
Internal Medicine
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8230
DR. SUNITHA BINU JACOB M.D.
Internal Medicine
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 945-7150
ILA D PATIL PT
Physical Therapist
1288 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 868-8230

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 Kathleen Park's NPI number?

The NPI number for Kathleen Park is 1558723254. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Kathleen Park located?

Kathleen Park practices at 1288 Central Ave, Far Rockaway, NY 11691. The listed phone number is (718) 945-7150.

What is Kathleen Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Park was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.