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

Paul Park, MD

Individual provider Orthopaedic Surgery Physician · NPI 1265886402

Paul Park, MD is a Neurosurgery in New York, New York. Qualified in 2016, 10 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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

5141 Broadway 3 Fld W
New York, NY 10034-1003
Phone: (212) 305-4565
Fax: (212) 932-5097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 622 W 168th St, New York, NY 10032-3720 — (212) 305-5974

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 309469 (NY)

Record details

NPI number1265886402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Also practisesORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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