JIWON PARK MD
NPI 1841970902
Internal Medicine - Cardiovascular Disease in Hallandale Beach, FL
About Jiwon Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIWON PARK MD (NPI 1841970902) is an individual cardiovascular disease provider in Hallandale Beach, Florida, licensed in Florida (ME179811) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jiwon Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jiwon Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami Gardens, FL 33169
- Reassigned Medicare billing, Florida enrollment
- 221 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HALLANDALE BEACH, FL 33009
HALLANDALE BEACH, FL 33009
HALLANDALE BEACH, FL 33009
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 Jiwon Park's NPI number?
The NPI number for Jiwon Park is 1841970902. It was assigned to this individual provider in the NPPES registry on July 24, 2023.
Where is Jiwon Park located?
Jiwon Park practices at 410 E Hallandale Beach Blvd, Hallandale Beach, FL 33009. The listed phone number is (954) 454-5777.
What is Jiwon Park's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Jiwon Park enrolled in Medicare?
Yes. Jiwon Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jiwon Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jiwon Park reassigns Medicare benefits to Chen Neighborhood Medical Centers Of South Florida, LLC (Miami Gardens, FL). The 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 Jiwon Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jiwon Park was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jiwon Park, MD · NPI 1841970902
Cardiovascular Disease physician in Hallandale Beach, Florida. Individual provider, active in the CMS NPPES registry since July 24, 2023.
## Identity
- **NPI:** 1841970902 (Entity type: Individual)
- **Enumerated:** July 24, 2023
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** ME179811 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 E HALLANDALE BEACH BLVD, Hallandale Beach, FL 33009-5529
- **Phone:** (954) 454-5777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Chen Neighborhood Medical Centers Of South Florida, LLC (NPI 1881024800, Miami Gardens, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841970902) · Data from the CMS NPPES public registry.