CONNIE PARK
NPI 1861924615
Internal Medicine - Gastroenterology in New York, NY
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, maintains a secondary practice location in New York, and is a graduate of State University Of New York Downstate Medical Center (2017).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Connie Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Connie Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10011
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Manhattan Gastroenterology PC
- 19 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 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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Connie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Park reassigns Medicare benefits to Manhattan Gastroenterology P.C. (New York, NY). 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 Connie 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 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 2 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.
# Connie Park · NPI 1861924615
Gastroenterology physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 31, 2017.
## Identity
- **NPI:** 1861924615 (Entity type: Individual)
- **Enumerated:** March 31, 2017
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 323354 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 983 PARK AVE STE 1D, New York, NY 10028-0808
- **Phone:** (212) 427-8761 · **Fax:** (212) 427-8762
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Manhattan Gastroenterology P.C. (NPI 1922396472, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2017
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861924615) · Data from the CMS NPPES public registry.