ANNE PARK
NPI 1629816129
Nurse Practitioner - Family in New York, NY

Q: What is Anne Park's NPI number?

The NPI number for Anne Park is 1629816129. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Anne Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Anne Park was last updated on July 18, 2024. 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.

Active since July 18, 2024PECOS Enrolled

424 E 34TH ST, NEW YORK, NY 10016(212) 263-4609 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anne Park NPPES

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

ANNE PARK (NPI 1629816129) is an individual family provider in New York, New York, licensed in New York (344228) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629816129

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNE PARK

Location Address424 E 34TH STNew York, NY 10016-4901

Mailing Address135 Oakfield AveDix Hills, NY 11746-8115

Phone(212) 263-4609

Sole ProprietorNo

Enumeration DateJuly 18, 2024

NPPES CertifiedJuly 18, 2024

✔ NPI 1629816129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 344228

424 E 34TH ST, New York, NY 10016

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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)

Anne Park 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 10016 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

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

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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.

MR. VINCENT M PENNICA AGACNP-BC

Nurse Practitioner (Acute Care)