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JEA YOUNG PARK
NPI 1831752864
Internal Medicine - Endocrinology, Diabetes & Metabolism in Derby, CT

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
130 DIVISION ST, DERBY, CT 06418(203) 732-7327 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jea Young Park NPPES

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

JEA YOUNG PARK (NPI 1831752864) is an individual endocrinology, diabetes & metabolism provider in Derby, Connecticut, licensed in California (A186360) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2019).

NPPES Registry Identity

NPI1831752864
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJEA YOUNG PARK
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address130 Division StDerby, CT 06418-1326 · (203) 732-7327
Phone(203) 732-7327
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2019
Enumeration DateApril 16, 2019
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1831752864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A186360
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
130 DIVISION ST, Derby, CT 06418
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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

Jea Young Park 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 ID8022536408
PECOS Enrollment IDI20250519003674
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. CHRISTINA ERNST MS,RD,CDN
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7579
STACEY LEARY RD, CDN, CNSC
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7585
GENEVIEVE CECILE KELA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7327
DR. DWAYNE ALANSIER HALL DNP
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DR. SYBIL CHENG D.O.
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7403
PETER J. INTEGLIA CRNA
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-6493
RORY V CONDON MSN, MA
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 887-0604
TRENT GARCIA MD
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421

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 Jea Young Park's NPI number?

The NPI number for Jea Young Park is 1831752864. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Jea Young Park located?

Jea Young Park practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-7327.

What is Jea Young Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jea Young Park enrolled in Medicare?

Yes. Jea Young 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 Jea Young Park was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.