JAE HONG PARK MD
NPI 1669593000
Internal Medicine - Hematology & Oncology in New York, NY
About Jae Hong Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE HONG PARK MD (NPI 1669593000) is an individual hematology & oncology provider in New York, New York, licensed in New York (726324) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jae Hong Park Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jae Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 428 clinicians in this Medicare group
Commack, NY 11725
- Reassigned Medicare billing, New York enrollment
- 265 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10065
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 Jae Park's NPI number?
The NPI number for Jae Park is 1669593000. It was assigned to this individual provider in the NPPES registry on April 3, 2007.
Where is Jae Park located?
Jae Park practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-4048.
What is Jae Park's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Jae Park enrolled in Medicare?
Yes. Jae Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jae Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae Park reassigns Medicare benefits to 2 organizations: Memorial Hematology Lymphoma Group (New York, NY) and Mskcc Regional Network (Commack, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jae Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jae Park was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jae Hong Park, MD · NPI 1669593000
Hematology & Oncology physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1669593000 (Entity type: Individual)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** 726324 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-4048
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Hematology Lymphoma Group (NPI 1891766366, New York, NY); Mskcc Regional Network (NPI 1740251297, Commack, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** July 19, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1669593000) · Data from the CMS NPPES public registry.