Jaemin Park

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037612 Issued in NY

Practice address

2 Comet Rd
Syosset, NY 11791-6909

Phone

(516) 470-1826

Fax

(516) 470-1827

NPI assigned

Sep 23, 2015

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

88.31

Improvement activities

40

Cost

69.4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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

• Cosmos Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Syosset, NY
  • NPI 1558981621

  Physical Therapist

  Medicare reassignment NPD Authorized official
• JP Movement Physical Therapy P.C.

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1356236830
  Medicare reassignment NPD Authorized official
• Physical Rehab PT, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1699621169
  NPD (past)

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1699144352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 JUSTICE AVE APT 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734672",
            "telephone_number": "585-216-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COMET RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916909",
            "telephone_number": "516-470-1826",
            "fax_number": "516-470-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 162nd St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113584156",
            "country_code": "US",
            "telephone_number": "718-939-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14021 32nd Ave Apt 7En",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113542663",
            "country_code": "US",
            "telephone_number": "929-499-7221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8733 Justice Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734672",
            "country_code": "US",
            "telephone_number": "585-216-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAEMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roula Kapetanos Panas, DDS
• Carlos Panjon
• Bonnie L Pantell
• Christina Panvini
• Doweon Park, L.AC
• William T Partridge, PT
• Iris Patricia Passaro, LCSW, CASAC
• Amit Manhar Patel, D.D.S.
• Deepa Patel, PT
• Milan Patel, PA

• Physical Therapist in Syosset, NY
• Providers in Syosset, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.