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MR. DAE YONG PARK MD
NPI 1700458387
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since July 13, 2021
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2024, Jul 13, 2021 (2 updates tracked since 2021).

About Mr. Dae Yong Park Md NPPES

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

MR. DAE YONG PARK MD (NPI 1700458387) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1700458387
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. DAE YONG PARKCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1700458387 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
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.

20 YORK ST, New Haven, CT 06510
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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.

MELIH ARICI MD
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7998
DAVID CHRISTOPHER CONE MD
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222
KEVIN JOHN BURNS PA C
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222
MAURICE J MAHONEY MD
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2660
MARGRETTA R SEASHORE MD
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2660
PAUL HENRI DESAN MD
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2619
LIVA ANDREJEVA-WRIGHT MD
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2433
KELLY ANNETTE MARTENS PA C
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222

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 Dae Yong Park's NPI number?

The NPI number for Dae Yong Park is 1700458387. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Dae Yong Park located?

Dae Yong Park practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Dae Yong 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 Dae Yong Park was last updated on October 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.