Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KYEJIN PARK, M.D.
DeactivatedMS. KYEJIN PARK, M.D. is a Diagnostic Radiology healthcare provider located in NEW YORK, New York. NPI 1548068307 is deactivated in the NPPES registry. Verify at CMS.
Diagnostic Radiology · NEW YORK, NY
This NPI has been deactivated.
The record was deactivated on October 10, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1548068307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2025 (0.5972602739726 yrs)
- Last Updated
- Nov 3, 2025
- Deactivated
- Oct 10, 2025
- License
-
P133652 (NY)
Practice Information
- Address
-
ONE GUSTAVE L. LEVY PLACEBOX 1234NEW YORK, NY, 10029Browse NY providers · Browse ZIP 10029
- Phone
- 2122416388
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| RICHARD J HERZOG | M.D. | 1548263338 |
| RONALD STEVEN ADLER | PH.D., M.D. | 1932102753 |
| DR. DOUGLAS R DECORATO | M.D. | 1588667877 |
| DR. STEVEN A ALBERT | M.D. | 1639172943 |
| DR. RICHARD J KATZ | M.D. | 1376546630 |
| DR. PETER M. GOLDSMITH | M.D. | 1326044678 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.