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Ipark Podiatry PC

NPI 1659835569ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Staten Island, NY

Podiatrist, Foot & Ankle Surgery in Staten Island, New York, registered in NPPES in January 2019. The authorized official on file is Innjea Park, D.P.M., Owner.

Overview

NPI1659835569
StatusActive
Entity typeOrganization
NPI issuedJan 24, 2019
Last updated in NPPESMay 7, 2025
Certified by providerMay 7, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist, Foot & Ankle Surgery Primary213ES0103X——
Podiatrist213E00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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