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

Joseph Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700203700

Joseph Park is a Pain Management in Valley Stream, New York. Qualified in 2014, 12 years ago. Practices with Anesthesiology Associates of Boro Park, LLP, a 46-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
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Practice location Address checks out

1049 Rosedale Rd
Valley Stream, NY 11581-2704
Phone: (917) 443-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700203700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESMay 7, 2019
Mailing address1 Gustave L Levy Pl, New York, NY 10029-6504

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Anesthesiology Associates Of Boro Park, Llp — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valley Stream