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

Dr. Tae Keun Park, MD

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1093940249

Dr. Tae Keun Park, MD is a Sports Medicine (Emergency Medicine) Physician in Manhasset, New York. Works from 2 locations. Licensed in California, New Jersey and New York.

Licensed in
CA, NJ, NY
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 Community Dr Dept OF Emergency Medicine
Manhasset, NY 11030-3816
Phone: (516) 562-2925
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 718 Teaneck Rd, Teaneck, NJ 07666-4245 — (201) 833-3913

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA08835000 (NJ)
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence 252574 (NY)
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence A104548 (CA)
Sports Medicine (Emergency Medicine) Physician Taxonomy 207PS0010X · Licence 25MA08835000 (NJ)

Record details

NPI number1093940249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2009
Last updated in NPPESJuly 21, 2022

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