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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. YOUNG JA PARK
NPI 1720077217
Military Health Care Provider in Apo, AP

Active since October 18, 2005
18TH MEDCOM, ATTS: DCCS-QM (CREDENTIALS), APO, AP 96205(011) 822-7916 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Dr. Young Ja Park NPPES

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

DR. YOUNG JA PARK (NPI 1720077217) is an individual military health care provider provider in Apo, AP, licensed in New York (133910-1) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1720077217
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. YOUNG JA PARK
Location Address18TH MEDCOM, ATTS: DCCS-QM (CREDENTIALS)Apo, AP 96205-0054
Mailing Address18th Medcom, Attn: Dccs-qm (credentials)Apo, AP 96295-0054 · (011) 822-7916 · Fax 01182279178110
Phone(011) 822-7916
Fax01182279178110
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1720077217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in NY · 133910-1
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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.

KERRI JEAN LUCAS
Licensed Vocational Nurse
18TH MEDCOM, ATTN: DCCS-AM (CREDENTIALS)
APO, AP 96205
JACK MATHEW DAVIS FNP
Nurse Practitioner (Family)
18TH MEDCOM, ATTN: DCCS-QM (CREDENTIALS)
APO, AP 96205
MRS. KRISTEN LEE VONDRUSKA RN
Registered Nurse (Administrator)
18TH MEDCOM, ATTN: DCCS-QM (CREDENTIALS)
APO, AP 96205
CHUNZA BEACK RN
Registered Nurse
18TH MEDCOM, ATTN: DCCS-QM(CREDENTIALS)
APO, AP 96205
MS. AMANDA JOY LOCKE
Registered Nurse (Obstetric, Inpatient)
18TH MEDCOM, ATTN: 1)CCS-AM (CREDENTIALS)
APO, AP 96205
MR. DANIEL JEFFREY SILVIA
Social Worker (Clinical)
18TH MEDCOM, ATTN: DCCS-QM (CREDENTIALS)
APO, AP 96205
DEBORAH SUSAN DEPASTINA RD, LD
Dietitian, Registered
18TH MEDCOM
APO, SEOUL 96205
(814) 327-6252
LAUREL S FIELDS MS
Pharmacist (Oncology)
18TH MEDCOM, ATTN DCCS QM CREDENTIALS
APO, AP 96205

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 Young Park's NPI number?

The NPI number for Young Park is 1720077217. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Young Park located?

Young Park practices at 18th Medcom Atts: Dccs-Qm (credentials), Apo, AP 96205. The listed phone number is (011) 822-7916.

What is Young Park's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Young Park was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.