DAVID JUNEWON PARK PA-C
NPI 1972000677
Physician Assistant - Medical in Bronx, NY
About David Junewon Park Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID JUNEWON PARK PA-C (NPI 1972000677) is an individual medical provider in Bronx, New York, licensed in New York (024237) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Junewon Park Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BRONX, NY 10461
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 David Park's NPI number?
The NPI number for David Park is 1972000677. It was assigned to this individual provider in the NPPES registry on April 9, 2018.
Where is David Park located?
David Park practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 904-2000.
What is David Park's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is David Park enrolled in Medicare?
Yes. David Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for David Park was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# David Junewon Park, PA-C · NPI 1972000677
Medical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1972000677 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 024237 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 EASTCHESTER RD, Bronx, NY 10461-2301
- **Phone:** (718) 904-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 20, 2020
- **Other identifiers:** Other 8743 (GA); Other 1140276
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Source: [NPI Profile](https://npiprofile.com/npi/1972000677) · Data from the CMS NPPES public registry.