Bora Park, DO
NPI 1609515030ActiveIndividual· Family Medicine· Guilford, CT
Family Medicine (DO) with Northeast Medical Group Inc, practicing in Guilford, Connecticut. Part D covered 1,044 prescriptions written in 2024, 83% of them generic. Lists Yale-New Haven Hospital as a hospital affiliation.
Overview
| NPI | 1609515030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 2, 2022 |
| Last updated in NPPES | Sep 16, 2025 |
| Certified by provider | Sep 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 80082 | CT |
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) | Enrolled Practitioner - Family Practice (CT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,044 · 1,794 30-day fills |
|---|---|
| Patients | 161 |
| Total drug cost | $93,190 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Northeast Medical Group IncBridgeport, CT · 1,360 clinicians
Hospital affiliation
- Yale-New Haven HospitalNew Haven, CT
Other facilities
- Yale New Haven Health - Health at HomeHome health agency · Milford, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Guilford
- 1588775720
- 1699886036
- 1053971259
- 1952313694
- 1740841766
- 1659384733
- 1376374710
- 1255168225
- 1508561085
- 1306856281
- 1043318421
- 1386222636