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

Mrs. Ji Young Park, NP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1609687508

Mrs. Ji Young Park, NP is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2025
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

23 Lawrence St
New Hyde Park, NY 11040-1720
Phone: (516) 417-7248
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F311044-01 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 684423 (NY)

Record details

NPI number1609687508
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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