1. Home
  2. Directory
  3. Connecticut
  4. Norwalk
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JIYOON PARK
NPI 1871053256
Student in an Organized Health Care Education/Training Program in Norwalk, CT

Active since March 22, 2019PECOS Enrolled
34 MAPLE ST, NORWALK, CT 06850(203) 852-2000 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Oct 11, 2022, Mar 22, 2019 (3 updates tracked since 2019).

About Jiyoon Park NPPES

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

JIYOON PARK (NPI 1871053256) is an individual student in an organized health care education/training program in Norwalk, Connecticut and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871053256
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJIYOON PARK
Location Address34 MAPLE STNorwalk, CT 06850-3815
Mailing Address1068 November DrCupertino, CA 95014-4130
Phone(203) 852-2000
Sole ProprietorNo
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1871053256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
34 MAPLE ST, Norwalk, CT 06850
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jiyoon 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.

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.

DLEAH VAIYASHA EPPS PA-C
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
DR. TIMOTHY DANIEL SHUB MD
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
KELLY NELSON
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2501
MADISON DUVAL HOBBS PA
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
JILL BIANCA WATRAS M.D.
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (703) 867-6793
SIMA EL-AYOUB
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2188
DR. CHRISTOPHER TYLER BATISTA PHARMD
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2684
MRS. NAUREEN KHAN M.D
Student in an Organized Health Care Education/Training Program
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303

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 Jiyoon Park's NPI number?

The NPI number for Jiyoon Park is 1871053256. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Jiyoon Park located?

Jiyoon Park practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (203) 852-2000.

What is Jiyoon Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jiyoon Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jiyoon Park was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.