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

Hyeyoon Hannah Park

Individual provider Adult Health Nurse Practitioner · NPI 1760840201

Hyeyoon Hannah Park is a Nurse Practitioner in Flushing, New York. Qualified in 2015, 11 years ago. Practices with Metro Dermatology of Nj, PA, a 5-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

14472 Northern Blvd Ste 203
Flushing, NY 11354-4231
Phone: (718) 886-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 — (201) 886-9000
  • 2175 Lemoine Ave Fl 6, Fort Lee, NJ 07024-6008 — (201) 886-9000
  • 220 E 161st St, Bronx, NY 10451-3543 — (718) 886-9000
  • 4012 80th St, Elmhurst, NY 11373-1234 — (718) 886-9000

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F307577-1 (NY)

Record details

NPI number1760840201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2016
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Metro Dermatology Of Nj,Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Flushing