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DR. NAM PARK
NPI 1326293614
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since December 01, 2008PECOS Enrolled
140 W 69TH ST OFC G1, NEW YORK, NY 10023(212) 466-6984 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Nam Park NPPES

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

DR. NAM PARK (NPI 1326293614) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (053029) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Freehold.

NPPES Registry Identity

NPI1326293614
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NAM PARK
Location Address140 W 69TH ST OFC G1New York, NY 10023-5321
Mailing Address140 W 69th St Ofc G1New York, NY 10023-5321 · (212) 466-6984
Phone(212) 466-6984
Sole ProprietorNo
Enumeration DateDecember 1, 2008
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
✔ NPI 1326293614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NY · 053029✔ Licensed in NJ · 22DI02506200
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
140 W 69TH ST OFC G1, New York, NY 10023
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Secondary Practice Location 1

Location 1501 Iron Bridge Rd Ste 14Freehold, NJ 07728-5305 · Phone (732) 431-3400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nam Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nam Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elbaum, Krost & Elbaum, DDS, PA
37 mi
Oral and Maxillofacial Surgery
1125 STATE ROUTE 35
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1134320708 (732) 531-8700

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 10023 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 Nam Park's NPI number?

The NPI number for Nam Park is 1326293614. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Nam Park located?

Nam Park practices at 140 W 69th St Ofc G1, New York, NY 10023. The listed phone number is (212) 466-6984.

What is Nam Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nam Park enrolled in Medicare?

Yes. Nam Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nam Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nam Park reassigns Medicare benefits to Elbaum, Krost & Elbaum, DDS, PA (Ocean, 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 Nam Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nam Park accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Nam 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.

When was this NPI record last updated?

The NPPES record for Nam Park was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.