Samuel Park MD, PLLC
NPI 1225587793ActiveOrganization· Internal Medicine· Mineola, NY
Internal Medicine in Mineola, New York, registered in NPPES in September 2016. The authorized official on file is Samuel J. Park, MD, President.
Overview
| NPI | 1225587793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2016 |
| Last updated in NPPES | Jun 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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