JU YOUNG PARK N.P.
NPI 1750730206
Nurse Practitioner - Family in New York, NY

Q: What is Ju Young Park's NPI number?

The NPI number for Ju Young Park is 1750730206. It was assigned to this individual provider in the NPPES registry on June 6, 2016. The provider is also known as Juyoung Park N.P..

Q: What is Ju Young Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ju Young Park was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 06, 2016

405 MAIN ST PH PH2B, NEW YORK, NY 10044(505) 459-5451 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Ju Young Park N.p. NPPES

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

JU YOUNG PARK N.P. (NPI 1750730206) is an individual family provider in New York, New York, licensed in New York (F340134) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1750730206

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJU YOUNG PARKCredential: N.P.

Location Address405 MAIN ST PH PH2BNew York, NY 10044-0349

Mailing Address405 Main St Ph Ph2bNew York, NY 10044-0349 · (505) 459-5451

Phone(505) 459-5451

Sole ProprietorYes

Enumeration DateJune 6, 2016

✔ NPI 1750730206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F340134

405 MAIN ST PH PH2B, New York, NY 10044

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Other Names 1

Other Name (5)Juyoung Park N.p.

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 Ju Young Park's NPI number?

The NPI number for Ju Young Park is 1750730206. It was assigned to this individual provider in the NPPES registry on June 6, 2016. The provider is also known as Juyoung Park N.P..

Where is Ju Young Park located?

Ju Young Park practices at 405 Main St Ph Ph2b, New York, NY 10044. The listed phone number is (505) 459-5451.

What is Ju Young Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ju Young Park was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.