DR. JEASUE JOSIE PARK
NPI 1861050718
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since June 04, 2019
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453(718) 590-1800 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeasue Josie Park NPPES

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

DR. JEASUE JOSIE PARK (NPI 1861050718) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1861050718
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JEASUE JOSIE PARK
Location Address1775 GRAND CONCOURSE FL 6Bronx, NY 10453-8202
Mailing Address15 Bank St Apt 106lWhite Plains, NY 10606-1982 · (352) 283-1929
Sole ProprietorYes
Enumeration DateJune 4, 2019
NPI 1861050718 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.
1775 GRAND CONCOURSE FL 6, Bronx, NY 10453

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.

Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Dentist (General Practice)
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Physical Therapist
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Student in an Organized Health Care Education/Training Program
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453
Dentist (Pediatric Dentistry)
1775 GRAND CONCOURSE FL 6
BRONX, NY 10453

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 Jeasue Park's NPI number?

The NPI number for Jeasue Park is 1861050718. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Jeasue Park located?

Jeasue Park practices at 1775 Grand Concourse Fl 6, Bronx, NY 10453. The listed phone number is (718) 590-1800.

What is Jeasue 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 Jeasue Park was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.