Individual provider Active NPI

Helen Park-Chong, NP

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1770024515
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F340090 Issued in NY
Practice address
New York Presbyterian-Columbia University Medical Cente
622 W 168TH Street, VC #205
New York, NY 10032
Phone
(866) 463-2778
Fax
(212) 342-6011
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340090 NY
Internal Medicine Physician 207R00000X F340090 NY Primary
Family Medicine Physician 207Q00000X F340090 NY

Addresses

Primary practice location

New York Presbyterian-Columbia University Medical Cente
622 W 168TH Street, VC #205
New York, NY 10032

Mailing address

New York Presbyterian-Columbia University Medical Cente
622 W 168TH Street, VC #205
New York, NY 10032
Phone (866) 463-2778

Other identifiers 1

IdentifierTypeStateIssuer
4736816MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200318001424 NY Order and Referring Only - Nurse Practitioner 4880979939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340090NYMDLicensed Practical Nurse
F340090NYMDFamily Medicine Physician

Networks

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

Interoperability endpoints

  • Direct secure messaging: hac9048@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1770024515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW YORK PRESBYTERIAN-COLUMBIA UNIVERSITY MEDICAL CENTE",
            "address_2": "622 W 168TH STREET, VC #205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "866-463-2778",
            "fax_number": "212-342-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK PRESBYTERIAN-COLUMBIA UNIVERSITY MEDICAL CENTE",
            "address_2": "622 W 168TH STREET, VC #205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "866-463-2778",
            "fax_number": "212-342-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK-CHONG",
        "first_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340090",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "F340090",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F340090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4736816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.