1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JUNG WON PARK M.D.
NPI 1639418320
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since January 31, 2013
111 S 11TH ST, SUITE 8280, PHILADELPHIA, PA 19107(215) 955-2370(215) 955-0677 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jung Won Park M.d. NPPES

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

JUNG WON PARK M.D. (NPI 1639418320) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD444011) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1639418320
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUNG WON PARKCredential: M.D.
Location Address111 S 11TH ST, SUITE 8280Philadelphia, PA 19107-4824
Mailing Address41 Media Line Rd, Apartment B1Broomall, PA 19008-1246 · (610) 420-5555
Phone(215) 955-2370
Fax(215) 955-0677
Sole ProprietorNo
Enumeration DateJanuary 31, 2013
✔ NPI 1639418320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MD444011
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.
111 S 11TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

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.

NICOLE LYNN RENALDI D.O.
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161
LING FAN
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8304
WILLIAM JUSTICE MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-6000
DR. DAVID P. FRIEDMAN M.D.
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2900
DR. WALTER K. KRAFT M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. TAKI GALANIS M.D.
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6540
DR. STEVEN M LUDWIN M.D.
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6610
JENNIFER L SWOPE CRNA
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

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 Jung Won Park's NPI number?

The NPI number for Jung Won Park is 1639418320. It was assigned to this individual provider in the NPPES registry on January 31, 2013.

Where is Jung Won Park located?

Jung Won Park practices at 111 S 11th St Suite 8280, Philadelphia, PA 19107. The listed phone number is (215) 955-2370.

What is Jung Won Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Jung Won Park was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.