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

Jung Park

Individual provider Neurological Surgery Physician · NPI 1225569817

Jung Park is a Neurosurgery in Manhasset, New York. Qualified in 2017, 9 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017

Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3816
Phone: (213) 446-7808
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 329356-01 (NY)

Record details

NPI number1225569817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address255 Whitney Ave Apt 34, New Haven, CT 06511-3751

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manhasset