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Park Preventative Care LLC

Internal Medicine Physician in Pomona, NY · enumerated 2018 · authorized official Melissa Nieli, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841766110

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Registry record

Entity type Organization (Type 2)
Legal business name Park Preventative Care LLC
Practice address 11 Medical Park Dr Ste 101, Pomona, NY, 10970
Phone (914) 376-6100
Fax (914) 470-5056
Enumeration date Oct 15, 2018
Last updated in NPPES Oct 15, 2018

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Melissa Nieli
Title Credentialing Specialist
Phone (914) 376-6100

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Park Preventative Care LLC located?
The practice location on file with NPPES is in Pomona, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-10-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-15.