JOSEPH HWAN PARK MD
NPI 1649854688
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 06, 2021PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-2250(215) 615-3995 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joseph Hwan Park Md NPPES

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

JOSEPH HWAN PARK MD (NPI 1649854688) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649854688
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH HWAN PARKCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-2250 · Fax (215) 615-3995
Fax(215) 615-3995
Sole ProprietorNo
Enumeration DateMay 6, 2021
NPPES CertifiedMay 6, 2021
NPI 1649854688 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.

3400 SPRUCE ST, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joseph Hwan Park Md 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.

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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 Joseph Park's NPI number?

The NPI number for Joseph Park is 1649854688. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Joseph Park located?

Joseph Park practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2250.

What is Joseph Park's specialty?

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

Is Joseph Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joseph Park was last updated on May 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.