Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JIWON PARK MD
NPI 1841970902
Student in an Organized Health Care Education/Training Program in Hallandale Beach, FL

Active since July 24, 2023
410 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009(954) 454-5777 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2026, Jul 24, 2023 (2 updates tracked since 2023).

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 student in an organized health care education/training program in Hallandale Beach, Florida and active in the NPI registry since July 2023. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1841970902
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJIWON PARKCredential: MD
Location Address410 E HALLANDALE BEACH BLVDHallandale Beach, FL 33009-5529
Mailing Address234 E 149th St Fl 8Bronx, NY 10451-5504 · (646) 954-9970
Sole ProprietorNo
Enumeration DateJuly 24, 2023
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1841970902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

410 E HALLANDALE BEACH BLVD, Hallandale Beach, FL 33009

Secondary Practice Location 1

Location 1234 E 149th St Fl 8Bronx, NY 10451-5504 · Phone (718) 579-5874

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.

Internal Medicine
410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Internal Medicine
410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Family Medicine
410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Non-Pharmacy Dispensing Site
410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Internal Medicine
410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Registered Nurse (Case Management)
410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Family Medicine
410 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Internal Medicine (Geriatric Medicine)
410 E HALLANDALE BEACH BLVD
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 Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jiwon Park was last updated on July 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.