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

Minna Park, NP

Individual provider Family Nurse Practitioner · NPI 1962831537

Minna Park, NP is a Nurse Practitioner in Flushing, New York. Qualified in 2016, 10 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2013
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

16410 Northern Blvd Ste 206
Flushing, NY 11358-2677
Phone: (718) 321-2940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 337877 (NY)

Record details

NPI number1962831537
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 5, 2013
Last updated in NPPESNovember 5, 2013
Mailing address216 W 100th St, Apt 920, New York, NY 10025-5018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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