MINNA PARK
NPI 1700383106
Speech-Language Pathologist in Bronx, NY
About Minna Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINNA PARK (NPI 1700383106) is an individual speech-language pathologist provider in Bronx, New York and active in the NPI registry since April 2018.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Minna Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Minna Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Minna Park's NPI number?
The NPI number for Minna Park is 1700383106. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Minna Park located?
Minna Park practices at 1225 Morris Park Avenue The Van Etten Building, Bronx, NY 10461. The listed phone number is (718) 430-8500.
What is Minna Park's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Minna Park enrolled in Medicare?
Yes. Minna Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Minna Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minna Park reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Minna 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 Minna Park was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Minna Park · NPI 1700383106
Speech-Language Pathologist provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1700383106 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 MORRIS PARK AVENUE, THE VAN ETTEN BUILDING, Bronx, NY 10461
- **Phone:** (718) 430-8500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Montefiore Medical Center (NPI 1063525152, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1700383106) · Data from the CMS NPPES public registry.