TERRENCE S PARK PODIATRY PC
NPI 1780336222
Podiatrist in Elmhurst, NY
About Terrence S Park Podiatry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRENCE S PARK PODIATRY PC (NPI 1780336222) is a healthcare organization registered as a podiatrist in Elmhurst, New York and active in the NPI registry since January 2022. The organization lists Terrence Park, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Terrence S Park Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Terrence S Park Podiatry PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Terrence S Park Podiatry PC's NPI number?
The NPI number for Terrence S Park Podiatry PC is 1780336222. It was assigned to this organization in the NPPES registry on January 26, 2022.
Where is Terrence S Park Podiatry PC located?
Terrence S Park Podiatry PC is located at 5910 Junction Blvd, Elmhurst, NY 11373. The listed phone number is (201) 916-0735.
What is Terrence S Park Podiatry PC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Terrence S Park Podiatry PC enrolled in Medicare?
Yes. Terrence S Park Podiatry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Terrence S Park Podiatry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Terrence S Park Podiatry PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Terrence S Park Podiatry PC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Terrence S Park Podiatry Pc · NPI 1780336222
Podiatrist organization in Elmhurst, New York. Organization record, active in the CMS NPPES registry since January 26, 2022.
## Identity
- **NPI:** 1780336222 (Entity type: Organization)
- **Enumerated:** January 26, 2022
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Terrence Park, PODIATRIST
## Practice location
- **Address:** 5910 JUNCTION BLVD, Elmhurst, NY 11373-5156
- **Phone:** (201) 916-0735
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780336222) · Data from the CMS NPPES public registry.