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

Young Park

Individual provider Family Medicine Physician · NPI 1083094189

Young Park is a Family Practice in Bay Shore, New York. Qualified in 2014, 12 years ago. Practices with Caremed Primary and Urgent Care PC, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

375 E Main St Ste 26
Bay Shore, NY 11706-8418
Phone: (631) 891-6200
Fax: (631) 350-7803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 296355 (NY)

Record details

NPI number1083094189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2015
Last updated in NPPESMay 18, 2025
Certification dateMay 18, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Caremed Primary And Urgent Care Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bay Shore