Individual provider · Type 1 NPI

Kyejin Park, MD

Diagnostic Radiology Physician · New York, NY

NPI number 1548068307 Active · reactivated Nov 3, 2025

Practice location

227 Madison St
New York, NY 10002-7537

Call (212) 238-7000 Map

Fax (212) 238-7668

Mailing address

800 Park Avenue, Apt 1907
Fort Lee, NJ 07024

Other practice locations

  • 550 1st Ave, New York, NY 10016-6402 · (646) 929-7870

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X342257 (NY)
Diagnostic Radiology Physician 2085R0202X25MA13172500 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1548068307

Kyejin Park, MD's National Provider Identifier is 1548068307, issued on Mar 6, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in New York, NY. The record was last updated on Jul 3, 2026.