Ipark Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

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

Last updated

May 7, 2025By the provider in NPPES

Organization subpart

No

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.NPI 1174907992

Title

Owner

Phone

(917) 796-1693

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Innjea Park, DPM

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
  • NPI 1174907992
  Authorized official Same address or phone
• James Tachibana, D.P.M.

  • Podiatrist
  • New York, NY
  • NPI 1659309664
  NPD (past)

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": []
}

• Anna Ioffe, LMSW
• Dina Iofin, L.S.W.
• Ioptics Inc
• Rachel Iospa, DMD
• Patricia Ann Iovine, LCSW, CASAC
• John Anthony Ippolito, OTD, OTR/L
• Nicole Ippolito
• Farhana Iqbal, M.D.
• Tooba Iqbal
• Ira Camhi, D.D.S., P.C.

• Foot & Ankle Surgery Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• 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.

Verify at the official NPI Registry.