Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bum Y Park, MD

Individual provider Pediatrics Physician · NPI 1750353124

Bum Y Park, MD is a General Practice in Woodside, New York. Qualified in 1981, 45 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
45
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4010 70th St
Woodside, NY 11377-2930
Phone: (718) 899-4600
Fax: (718) 446-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21150 45th Dr Fl 1, Bayside, NY 11361-3357 — (718) 229-1188

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 168409 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 168409 (NY)

Record details

NPI number1750353124
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 1, 2006
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address4010 70th St, Woodside, NY 11377-2930

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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