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Jane Park

Nurse Practitioner β€’ Bronx, NY

Active NPI 1174297857 Individual Practitioner Female Practitioner
Practice location in NPPES

4422 3rd Ave
Bronx, NY 104572545

Call 7189609000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4422 3rd Ave

Bronx, NY 104572545

Telephone 7189609000
Fax 7189609361
Organization at the Same NPPES Address or Phone
Intensive Care Associates Facility NPI 1497717847

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $176.37 across 8 records.

By nature of payment

  • Food and Beverage: $176.37 across 8 records.

Reporting-company totals

  • Alkermes, Inc.: $149.16 across 7 records.
  • ABBVIE INC.: $27.21 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jane Park has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jane Park as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bronx and New York

147 active clinicians are listed under Nurse Practitioner with a practice address in Bronx, NY (3,102 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

5.4% of these 147 clinicians have the CMS telehealth indicator.

12.2% of these 147 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $176.37.

Manufacturer Payment Nature Product Type Amount ($)
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $30.68
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $29.82
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $29.17
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $28.01
ABBVIE INC.
Food and Beverage
In-kind items and services
MAVYRET General $27.21
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $24.40
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $3.68
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $3.40

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES NY F347367

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20220415001007

Enrollment State Jurisdiction

NY

PECOS Control ID

9335535590

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Dr. Mina Attaalla , DO

Emergency Medicine

NPI 1083977458

Doctor of Osteopathic Medicine (D.O.)

Aamir Bandagi

Student in an Organized Health Care Education/Training Program

NPI 1114487279
Amy Bandriwsky

Physician Assistant

NPI 1104437052
NPI 1134859523

Doctor of Medicine (M.D.)

NPI 1023545498

Doctor of Medicine (M.D.)

Dr. William Danial , DO

Student in an Organized Health Care Education/Training Program

NPI 1124405113

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 10, 2022

Recorded as JANE PARK

βœ…
NPI Profile Active August 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2021

Registered at 4422 3RD AVE, BRONX, NY 104572545 (Tel: 7189609000)

πŸ“
Business Mailing Address (Initial Record) August 05, 2021

Registered at 1424 OUTLOOK AVE APT 1, BRONX, NY 104651184 (Tel: 7188830012)

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2021

Recorded as JEONGHYE PARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Nurse Practitioner (license number reported to NPPES: NY F347367)

🟒
Initial NPI Registration & Enumeration August 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174297857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2021
Last Update: January 10, 2022
Sole Proprietor: No

Other Nurse Practitioners in Bronx

All Nurse Practitioners in Bronx

Mailing Address

1424 Outlook Ave Apt 1

Bronx, NY 104651184

Phone: 7188830012

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.