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BUMJIN PARK
NPI 1861388159
Plastic Surgery in New York, NY

Active since June 14, 2025
100 E 77TH ST, NEW YORK, NY 10075(212) 434-2000 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, Jun 14, 2025 (2 updates tracked since 2025).

About Bumjin Park NPPES

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

BUMJIN PARK (NPI 1861388159) is an individual plastic surgery provider in New York, New York, licensed in New York (P134913) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1861388159
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameBUMJIN PARK
Location Address100 E 77TH STNew York, NY 10075
Mailing Address105 Brown RdScarsdale, NY 10583 · (914) 500-9175
Phone(212) 434-2000
Sole ProprietorNo
Enumeration DateJune 14, 2025
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1861388159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · P134913
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
100 E 77TH ST, New York, NY 10075
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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. CATHERINE WILLIAMS HALL NURSE PRACTITIONER
Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
MS. PUNAM SHERPA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (646) 752-1480
MARIA PUTILINA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2150
LINDA MANGERA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
JUSTIN WAN
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-4763
AMANDA JEAN BATTISTA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
SAGAR MULAY
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
New York County (731) 676-2644
REBECCA SAUNDERS AGACNP
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-6500

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 Bumjin Park's NPI number?

The NPI number for Bumjin Park is 1861388159. It was assigned to this individual provider in the NPPES registry on June 14, 2025.

Where is Bumjin Park located?

Bumjin Park practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.

What is Bumjin Park's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Bumjin Park was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.