Active NPI 1730220666 Individual Practitioner Male Practitioner

Dr. Yohan Park , MD

Pediatrics • Bayside, NY

Professional Overview & Biography Verified Profile Summary

Dr. Yohan Park, MD is a registered healthcare professional specializing in Pediatrics in Bayside, NY. Practice services are available at 4223 212TH ST UNIT 1A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4223 212th St Unit 1a

Bayside, NY 113612979

Telephone 7182297337

Fax 7182297333

Associated Practice Facility / Clinic

🏢 Bayside Pediatrics Pc Facility NPI 1720565187

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bayside, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

21 Specialists

Practicing in Bayside, NY (6127 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-21

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 236369

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02718183 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Esther Sung , MD

Pediatrics

NPI 1053454520

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location January 28, 2022

Registered at 4223 212TH ST UNIT 1A, BAYSIDE, NY 113612979 (Tel: 7182297337)

✅

NPI Profile Active February 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2011

Registered at 4223 212TH ST UNIT 1B, BAYSIDE, NY 113612979 (Tel: 7182297337)

📍

Updated Business Mailing Address February 07, 2011

Registered at 4223 212TH ST UNIT 1B, BAYSIDE, NY 113612979 (Tel: 7182297337)

👤

Provider Name / Credentials Updated February 07, 2011

Recorded as YOHAN PARK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2011

Pediatrics (License #236369 in NY)

🟢

Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730220666

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 12, 2007

Last Update: January 28, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4223 212th St Unit 1b

Bayside, NY 113612979

Phone: 7182297337

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.