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

Dr. Jacqueline Min-Sun Park, MD

Individual provider Internal Medicine Physician · NPI 1134582182

Dr. Jacqueline Min-Sun Park, MD is a Hospitalist in Manhasset, New York. Qualified in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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

300 Community Dr
Manhasset, NY 11030
Phone: (516) 562-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Dept Of Medicine Hsc Level 16, Stony Brook, NY 11794-0001 — (631) 444-2058

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 299562 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 299562 (NY)

Record details

NPI number1134582182
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2016
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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