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

MS. Kyejin Park, MD

Individual provider Diagnostic Radiology Physician · NPI 1548068307

MS. Kyejin Park, MD is a Diagnostic Radiology in New York, New York. Qualified in 2012, 14 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
14
Licensed in
NJ, NY
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

227 Madison St
New York, NY 10002-7537
Phone: (212) 238-7000
Fax: (212) 238-7668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 1st Ave, New York, NY 10016-6402 — (646) 929-7870

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 342257 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA13172500 (NJ)

Record details

NPI number1548068307
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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