Individual provider Active NPI

Jennifer McNamara Park, MD

  • Maternal & Fetal Medicine Physician
  • Hartford, CT
National Provider Identifier
1992904650
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
050916 Issued in CT
Practice address
80 Seymour Street
Hartford Hospital Maternal-Fetal Medicine
Hartford, CT 06102-5037
Phone
(860) 545-2884
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2010014117 MO
Obstetrics & Gynecology Physician 207V00000X 050916 CT
Maternal & Fetal Medicine Physician 207VM0101X 050916 CT Primary

Addresses

Primary practice location

80 Seymour Street
Hartford Hospital Maternal-Fetal Medicine
Hartford, CT 06102-5037

Mailing address

P.O. Box 415933
Hartford Hospital Professional Services
Boston, MA 02241-5933
Phone (860) 545-7602

Other practice location 1

282 Washington St
Hartford, CT 06106-3322
Phone (860) 837-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120621000364 CT Practitioner - Obstetrics/Gynecology 1658535729 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121

80 Seymour St
Hartford, CT 06102-8000

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050916CTMDObstetrics & Gynecology Physician
2010014117MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center CurrentSince Oct 28, 2017 Accepting new patients
Midstate Medical Center Current Accepting new patients
The William W Backus Hospital Current Accepting new patients
Hartford Hospital CurrentSince Aug 1, 2012 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Hartford Hospital Obstetrics & Gynecology CurrentSince Aug 1, 2012 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 15, 2013 Accepting new patients
Hartford Hospital CurrentSince Aug 1, 2012 Accepting new patients
Midstate Medical Center CurrentSince Oct 28, 2017 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Obstetrics & Gynecology CurrentSince Feb 15, 2013 Accepting new patients
William W Backus Hospital CurrentSince Aug 11, 2013 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients

Locations

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

111 Salem Tpke
Norwich, CT 06360
Phone (860) 425-5900

Interoperability endpoints

  • Direct secure messaging: jennifer.park@xdr.hhchealthdirect.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1992904650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 415933",
            "address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415933",
            "telephone_number": "860-545-7602",
            "fax_number": "860-545-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL MATERNAL-FETAL MEDICINE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061025037",
            "telephone_number": "860-545-2884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-837-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JENNIFER",
        "middle_name": "MCNAMARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2010014117",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "050916",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CT",
            "license": "050916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.