JI HAE PARK M.D.
NPI 1205298007
Urology in Palisades Park, NJ

Q: What is Ji Hae Park's NPI number?

The NPI number for Ji Hae Park is 1205298007. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Ji Hae Park's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Ji Hae Park was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment

500 1ST ST, PALISADES PARK, NJ 07650(201) 240-8599(201) 204-8599 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ji Hae Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JI HAE PARK M.D. (NPI 1205298007) is an individual urology provider in Palisades Park, New Jersey, licensed in New Jersey (P06084010062881) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2016).

NPPES Registry Identity

NPI1205298007

Entity TypeIndividualFemale

Primary Taxonomy208800000X

Provider Legal NameJI HAE PARKCredential: M.D.

Location Address500 1ST STPalisades Park, NJ 07650-2662

Mailing Address500 1st StPalisades Park, NJ 07650-2662

Phone(201) 240-8599

Fax(201) 204-8599

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2016

Enumeration DateMarch 22, 2016

✔ NPI 1205298007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NJ · P06084010062881

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

500 1ST ST, Palisades Park, NJ 07650

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ji Hae Park M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931501830

PECOS Enrollment IDI20210715000516

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ji Hae Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rutgers Health-Rwj Neurosurgery Faculty

34 mi

Urology

195 LITTLE ALBANY ST
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
259 clinicians in this Medicare group

NPI 1710012604 (732) 235-2465

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

40 services27 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

30 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Complex surgical treatment of kidney stone with imaging guidance 50081

This procedure involves using a thin tube (endoscope) to either remove or break down large kidney stones, or to place a small device (stent) that helps keep the urinary tract open. This is done to alleviate pain and improve kidney function.

16 services15 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

15 services15 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

14 services14 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

13 services13 patients

Dilation of existing opening into urinary tract and creation of new access into urine collecting system of kidney using imaging guidance 50437

This is a procedure to widen a current opening and create a new one into your kidney's urine collecting system. It's done with the help of imaging technology. This helps in better urine flow and reduces kidney-related issues.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310048

Location110 Rehill AveSomerville, NJ 08876 · Somerset County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ji Hae Park's NPI number?

The NPI number for Ji Hae Park is 1205298007. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Ji Hae Park located?

Ji Hae Park practices at 500 1st St, Palisades Park, NJ 07650. The listed phone number is (201) 240-8599.

What is Ji Hae Park's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ji Hae Park enrolled in Medicare?

Yes. Ji Hae Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ji Hae Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ji Hae Park reassigns Medicare benefits to Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ji Hae Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ji Hae Park accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ji Hae Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ji Hae Park affiliated with any hospitals?

According to CMS data, Ji Hae Park is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Ji Hae Park was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.