Individual
JASON S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARMD
Contact information
Practice address
161 FT WASHINGTON AVE, NEW YORK, NY 10032
(212) 305-5293
Mailing address
161 FT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-5293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP446664
PA
207N00000X
Dermatology Physician
Primary
332539-01
NY
207R00000X
Internal Medicine Physician
MT227888
PA
Other
Enumeration date
01/08/2021
Last updated
11/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us