Doctor profile · Federal record

Dr. Ji Park, DDS

Dentist · Astoria, NY

  • NPI 1861624405
  • 17 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
25-37 Broadway
Astoria, NY 11106
(718) 786-2631

Credentials & registration

NPPES · NUCC
NPI registered
August 2009 — 17 yrs on file
Profile last updated
September 12, 2014
Specialty taxonomy
122300000X — NUCC code
State license (1)
New York #054533
Medicaid
NY #03142927

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1861624405. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$37
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Dentsply Sirona Inc 1 $36.78

By nature of payment

Food and Beverage
$37

Frequently asked questions

Auto-generated from federal data
What is Dr. Ji Park's medical specialty?
Dr. Ji Park practices Dentist in Astoria, NY.
Where does Dr. Ji Park practice?
Dr. Ji Park practices at 25-37 Broadway, Astoria, NY 11106. Office phone: 7187862631.
What is Dr. Ji Park's NPI?
Dr. Ji Park's National Provider Identifier (NPI) is 1861624405, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 23, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›