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

Individual provider Family Medicine Physician · NPI 1376924373

Bumsoo Park, MD is a Family Practice in New York, New York. Qualified in 2003, 23 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New York.

Years since qualifying
23
Licensed in
MI, NY
In the registry since
2015
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

360 W 31st St Fl 3
New York, NY 10001-2861
Phone: (646) 987-3436
Fax: (646) 293-1441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 336914 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301108105 (MI)

Record details

NPI number1376924373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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