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

Dr. Juyeon Park, MD

Individual provider Surgery Physician · NPI 1417452327

Dr. Juyeon Park, MD is a General Surgery in Patchogue, New York. Qualified in 2018, 8 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York and Tennessee.

Years since qualifying
8
Licensed in
NY, TN
In the registry since
2018
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

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 687-2842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 333140 (NY)
Surgery Physician Taxonomy 208600000X · Licence 67665 (TN)

Record details

NPI number1417452327
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2018
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address101 Hospital Rd, Patchogue, NY 11772-4870

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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