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CONNIE PARK
NPI 1861924615
Internal Medicine - Gastroenterology in New York, NY

Active since March 31, 2017PECOS Enrolled
983 PARK AVE STE 1D, NEW YORK, NY 10028(212) 427-8761(212) 427-8762 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Mar 31, 2017 (2 updates tracked since 2017).

About Connie Park NPPES

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

CONNIE PARK (NPI 1861924615) is an individual gastroenterology provider in New York, New York, licensed in New York (323354) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1861924615
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameCONNIE PARK
Location Address983 PARK AVE STE 1DNew York, NY 10028-0808
Mailing Address121 W 27th St Ste 504New York, NY 10001-6207 · (646) 351-0911
Phone(212) 427-8761
Fax(212) 427-8762
Sole ProprietorNo
Enumeration DateMarch 31, 2017
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1861924615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 323354
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
983 PARK AVE STE 1D, New York, NY 10028
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Secondary Practice Location 1

Location 1100 E 77th StNew York, NY 10075-1850 · Phone (212) 434-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10028 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARK PHYSICIAN PRACTICE, PC
Family Medicine (Adult Medicine)
983 PARK AVE STE 1D
NEW YORK, NY 10028
New York County (212) 427-8761
ELANGO MEDICAL PLLC
Internal Medicine
983 PARK AVE STE 1D
NEW YORK, NY 10028
New York County (212) 427-8761
DR. ERIC YOON MD
Internal Medicine (Gastroenterology)
983 PARK AVE STE 1D
NEW YORK, NY 10028
New York County (212) 427-8761

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 Connie Park's NPI number?

The NPI number for Connie Park is 1861924615. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Connie Park located?

Connie Park practices at 983 Park Ave Ste 1D, New York, NY 10028. The listed phone number is (212) 427-8761.

What is Connie Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Connie Park enrolled in Medicare?

Yes. Connie Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connie Park was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.