Jiyeon Park
NPI 1457018384ActiveIndividual· Nurse Practitioner, Adult Health· Astoria, NY
Nurse Practitioner, Adult Health in Astoria, New York, licensed in NY, with an NPI issued in November 2021. Photocure Inc reported $121.31 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1457018384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 27, 2021 |
| Last updated in NPPES | Nov 27, 2021 |
| Certified by provider | Nov 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | F310534-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Industry payments (Open Payments)
- 2024$121.31 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Photocure Inc | $121.31 | 1 |
What the 2024 payments were for
- Food and Beverage$121.31 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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