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

Connie Park

Individual provider Gastroenterology Physician · NPI 1861924615

Connie Park is a Gastroenterology in New York, New York. Graduated from State University of New York Downstate Medical Center in 2017, 9 years ago. Practices with Manhattan Gastroenterology PC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

983 Park Ave Ste 1D
New York, NY 10028-0808
Phone: (212) 427-8761
Fax: (212) 427-8762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E 77th St, New York, NY 10075-1850 — (212) 434-2000

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 323354 (NY)

Record details

NPI number1861924615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2017 (9 years in practice)
Group practice Manhattan Gastroenterology Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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