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

Jaemin Park

Individual provider Physical Therapist · NPI 1699144352

Jaemin Park is a Physical Therapist in Private Practice in Syosset, New York. Qualified in 2017, 9 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

2 Comet Rd
Syosset, NY 11791-6909
Phone: (516) 470-1826
Fax: (516) 470-1827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8733 Justice Ave Apt 1, Elmhurst, NY 11373-4672 — (585) 216-3264
  • 14021 32nd Ave Apt 7en, Flushing, NY 11354-2663 — (929) 499-7221
  • 4214 162nd St Fl 1, Flushing, NY 11358-4156 — (718) 939-7999

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 037612 (NY)

Record details

NPI number1699144352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2015
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address8733 Justice Ave Apt 1, Elmhurst, NY 11373-4672

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Syosset