Individual provider

Eunjin Park, PA

Medical Physician Assistant Physician Assistant

Eunjin Park, PA is a Medical Physician Assistant in Greenwich, CT, registered under NPI 1124078449. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 5 PERRYRIDGE RD, Greenwich, CT 06830. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5 PERRYRIDGE RD, Greenwich, CT 06830 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
002071 CT Medical Physician Assistant primary
25MP00138500 NJ Physician Assistant
009684 NY Physician Assistant

Licences are recorded in 3 states: CT, NJ, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 3 states

This provider holds licences in 3 states: Connecticut, New Jersey and New York. The practice address on file is in Greenwich, CT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut practice address
Licence
002071
Specialty
Medical Physician Assistant
Verify with the CT board →
NJ New Jersey
Licence
25MP00138500
Specialty
Physician Assistant
Verify with the NJ board →
NY New York
Licence
009684
Specialty
Physician Assistant
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical 002071 CT primary
363A00000X Physician Assistant 25MP00138500 NJ
363A00000X Physician Assistant 009684 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124078449 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 10, 2006
Last updatedAug 8, 2014
StatusActive
Sole proprietorNo
CredentialPA
Practice address 5 PERRYRIDGE RD
Greenwich, CT 06830
(914) 282-9880
This record was last updated on Aug 8, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1124078449 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 0 7 8 4 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 0 7 7 4 8

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124078449?
NPI 1124078449 is the National Provider Identifier assigned to Eunjin Park, PA in Greenwich, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Eunjin Park, PA?
The phone number on file with NPPES is (914) 282-9880, last updated Aug 8, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1124078449 a valid number?
Yes. 1124078449 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.