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

Timothy Park, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487210084

Timothy Park, DO is an Internal Medicine in Flushing, New York. Qualified in 2019, 7 years ago. Practices with Geneva General Hospital, Inc, a 88-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (516) 498-7471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1487210084
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019
Mailing address5645 Main St, Flushing, NY 11355-5045

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Geneva General Hospital, Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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