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BUM Y PARK M.D.
NPI 1750353124
General Practice in Woodside, NY

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
4010 70TH ST, WOODSIDE, NY 11377(718) 899-4600(718) 446-8302 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, Jan 11, 2022, Mar 17, 2016 (3 updates tracked since 2016).

About Bum Y Park M.d. NPPES

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

BUM Y PARK M.D. (NPI 1750353124) is an individual general practice provider in Woodside, New York, licensed in New York (168409) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1750353124
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBUM Y PARKCredential: M.D.
Location Address4010 70TH STWoodside, NY 11377-2930
Mailing Address4010 70th StWoodside, NY 11377-2930 · (718) 899-4600 · Fax (718) 446-8302
Phone(718) 899-4600
Fax(718) 446-8302
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1750353124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 168409
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License 168409 (NY)
4010 70TH ST, Woodside, NY 11377
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Other Identifiers 1

Medicaid01008740NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bum Y Park M.d. 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.

PECOS PAC ID6800195702
PECOS Enrollment IDI20240123001691
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.

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 Bum Park's NPI number?

The NPI number for Bum Park is 1750353124. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Bum Park located?

Bum Park practices at 4010 70th St, Woodside, NY 11377. The listed phone number is (718) 899-4600.

What is Bum Park's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bum Park enrolled in Medicare?

Yes. Bum 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.

When was this NPI record last updated?

The NPPES record for Bum Park was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.