DR. IEROO PARK DO
NPI 1245927409
Hospitalist in Vineland, NJ
About Dr. Ieroo Park Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IEROO PARK DO (NPI 1245927409) is an individual hospitalist provider in Vineland, New Jersey, licensed in New Jersey (25MB13172300) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Camden, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ieroo Park Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ieroo Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 535 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VINELAND, NJ 08360
VINELAND, NJ 08360
VINELAND, NJ 08360
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 Ieroo Park's NPI number?
The NPI number for Ieroo Park is 1245927409. It was assigned to this individual provider in the NPPES registry on April 19, 2023.
Where is Ieroo Park located?
Ieroo Park practices at 1505 W Sherman Ave, Vineland, NJ 08360. The listed phone number is (201) 835-3463.
What is Ieroo Park's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Ieroo Park enrolled in Medicare?
Yes. Ieroo Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ieroo Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ieroo Park reassigns Medicare benefits to Cooper Physician Offices, PA (Camden, 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 Ieroo Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ieroo Park was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Ieroo Park, DO · NPI 1245927409
Hospitalist physician in Vineland, New Jersey. Individual provider, active in the CMS NPPES registry since April 19, 2023.
## Identity
- **NPI:** 1245927409 (Entity type: Individual)
- **Enumerated:** April 19, 2023
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 25MB13172300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1505 W SHERMAN AVE, Vineland, NJ 08360-7059
- **Phone:** (201) 835-3463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Cooper Physician Offices, PA (NPI 1154369510, Camden, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245927409) · Data from the CMS NPPES public registry.