Ji Young Park
NPI 1558954255ActiveIndividual· Speech-Language Pathologist· White Plains, NY
Speech-Language Pathologist with White Plains Physician Services PC, practicing in White Plains, New York. Medicare paid $21,066 for services to 80 patients in 2024. Lists White Plains Hospital Center as a hospital affiliation.
Overview
| NPI | 1558954255 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 15, 2021 |
| Last updated in NPPES | Feb 15, 2021 |
| Certified by provider | Feb 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 286 across 8 procedure codes |
| Paid by Medicare | $21,066 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
| Telehealth | Offers telehealth |
Medical group
- White Plains Physician Services PCHarrison, NY · 386 clinicians
Hospital affiliation
- White Plains Hospital CenterWhite Plains, NY
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All 164 speech-language pathologists in White Plains · All speech-language pathologists in New York