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

Jin A Park

Individual provider Physician Assistant · NPI 1457167355

Jin A Park is a Physician Assistant in Bronx, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone: (718) 904-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1457167355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address500 Central Park Ave Apt 213, Scarsdale, NY 10583-1065

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