KRISTINE PARK M.D.
NPI 1932561933
Student in an Organized Health Care Education/Training Program in Albany, NY

Q: What is Kristine Park's NPI number?

The NPI number for Kristine Park is 1932561933. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Kristine Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristine Park was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment

47 NEW SCOTLAND AVE, DEPT. OF OB/GYN, ALBANY, NY 12208(518) 264-5026 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Mar 28, 2016 (2 updates tracked since 2016).

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About Kristine Park M.d. NPPES

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

KRISTINE PARK M.D. (NPI 1932561933) is an individual student in an organized health care education/training program in Albany, New York and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2016).

NPPES Registry Identity

NPI1932561933

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRISTINE PARKCredential: M.D.

Location Address47 NEW SCOTLAND AVE, DEPT. OF OB/GYNAlbany, NY 12208-3412

Mailing Address47 New Scotland Ave, Dept. Of Ob/gynAlbany, NY 12208-3412

Phone(518) 264-5026

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration

✔ NPI 1932561933 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.

47 NEW SCOTLAND AVE, Albany, NY 12208

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristine Park M.d. 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.

PECOS PAC ID7113262619

PECOS Enrollment IDI20220914002583

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.

AMC

Psychiatric Hospital

47 NEW SCOTLAND AVE, PSYCHIATRY DEPARTMENT
ALBANY, NY 12208

Albany County (516) 547-3032

BRIANNA SAMSON PA-C

Physician Assistant (Medical)

47 NEW SCOTLAND AVE
ALBANY, NY 12208

Albany County (518) 262-5332

VILOK DESAI

Student in an Organized Health Care Education/Training Program

47 NEW SCOTLAND AVE, DEPARTMENT OF OTOLARYNGOLOGY
ALBANY, NY 12208

Albany County (518) 264-5578

TAYLOR SEKYRA

Physician Assistant

47 NEW SCOTLAND AVE
ALBANY, NY 12208

Albany County (518) 262-5521

DR. TODD BEYER MD

Surgery

47 NEW SCOTLAND AVE
ALBANY, NY 12208

Albany County (518) 262-5623

ROBIN M GRAY FNP

Nurse Practitioner

47 NEW SCOTLAND AVE
ALBANY, NY 12208

Albany County (518) 262-3480

MR. SREENIVAS GARLA MD

Radiology (Neuroradiology)

47 NEW SCOTLAND AVE, RADIOLOGY DEPT
ALBANY, NY 12208

Albany County (518) 262-3277

DR. KRISTEN MORGAN PEACE M.D.

Emergency Medicine

47 NEW SCOTLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE
ALBANY, NY 12208

Albany County (518) 262-3773

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 Kristine Park's NPI number?

The NPI number for Kristine Park is 1932561933. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Kristine Park located?

Kristine Park practices at 47 New Scotland Ave Dept. Of Ob/Gyn, Albany, NY 12208. The listed phone number is (518) 264-5026.

What is Kristine 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 Kristine Park enrolled in Medicare?

Yes. Kristine 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.

When was this NPI record last updated?

The NPPES record for Kristine Park was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.