Active NPI
Ipark Podiatry PC
- Foot & Ankle Surgery Podiatrist
- Staten Island, NY
National Provider Identifier
1659835569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- IPARK PODIATRY PC
- Practice address
- 970 Bard Avenue
Staten Island, NY 10301 - Phone
- (718) 717-8033
- Fax
- (718) 720-6931
- NPI assigned
- Jan 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Innjea Park, D.P.M.
- Title
- Owner
- Phone
- (917) 796-1693
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
970 Bard Avenue
Staten Island, NY 10301
Mailing address
1042 Huguenot Ave
Staten Island, NY 10312-4315
Phone (917) 796-1693
National Provider Directory
National Provider DirectoryLocations
130 E 40th St
Ste 1200
New York, NY 10016
Phone (212) 213-3100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- New York, NY
- NPI 1659309664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1659835569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 HUGUENOT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124315",
"telephone_number": "917-796-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 BARD AVENUE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301",
"telephone_number": "718-717-8033",
"fax_number": "718-720-6931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IPARK PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-24",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "INNJEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-796-1693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.