Milae Park, APN, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F422011-01 Issued in NY

Practice address

1441 South Ave Ste 201
Staten Island, NY 10314-3780

Phone

(718) 697-0255

Fax

(718) 521-6151

NPI assigned

Feb 28, 2023

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premium Health Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1609129402
  NPD (past)
• Rma of NJ

  dba Everleap Fertility

  • Reproductive Endocrinology Physician
  • Basking Ridge, NJ
  • NPI 1992712558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1508565599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD STE 403",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SOUTH AVE STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143780",
            "telephone_number": "718-697-0255",
            "fax_number": "718-521-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MILAE",
        "credential": "APN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F422011-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Slope Comprehensive Medical Wellness PLLC
• Catherine Y Park, MD
• Innjea Park, DPM
• Jane NA Park, DO
• Joann Park, LCSW
• Andrea M. Parker, MA CCC-SLP
• Tracy Parker
• Lauren Elizabeth Parks
• Zarina Parnas, PHARM.D
• Chester Parnes, PHARMACIST

• Women's Health Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.