MS. MYOUNG AE PARK NP
NPI 1396188215
Nurse Practitioner - Gerontology in Bayonne, NJ

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment
988 BROADWAY, BAYONNE, NJ 07002(201) 339-6111(201) 339-6333 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Apr 10, 2024 (2 updates tracked since 2024).

About Ms. Myoung Ae Park Np NPPES

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

MS. MYOUNG AE PARK NP (NPI 1396188215) is an individual gerontology provider in Bayonne, New Jersey, licensed in New Jersey (26NJ00428200) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396188215
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. MYOUNG AE PARKCredential: NP
Location Address988 BROADWAYBayonne, NJ 07002-4036
Mailing Address988 BroadwayBayonne, NJ 07002-4036 · (201) 339-6111 · Fax (201) 339-6333
Fax(201) 339-6333
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 10, 2013
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
NPI 1396188215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NJ · 26NJ00428200
988 BROADWAY, Bayonne, NJ 07002

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Myoung Ae Park Np 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 ID6002053915
PECOS Enrollment IDI20130514000360
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07002 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims28 services$5.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
988 BROADWAY
BAYONNE, NJ 07002
Family Medicine
988 BROADWAY
BAYONNE, NJ 07002
Obstetrics & Gynecology (Gynecology)
988 BROADWAY, 2ND FL
BAYONNE, NJ 07002
Clinical Nurse Specialist (Family Health)
988 BROADWAY
BAYONNE, NJ 07002
Internal Medicine (Cardiovascular Disease)
988 BROADWAY
BAYONNE, NJ 07002
Internal Medicine (Endocrinology, Diabetes & Metabolism)
988 BROADWAY
BAYONNE, NJ 07002
Internal Medicine
988 BROADWAY, SUITE 201
BAYONNE, NJ 07002
Nurse Practitioner
988 BROADWAY
BAYONNE, NJ 07002

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 Myoung Park's NPI number?

The NPI number for Myoung Park is 1396188215. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Myoung Park located?

Myoung Park practices at 988 Broadway, Bayonne, NJ 07002. The listed phone number is (201) 339-6111.

What is Myoung Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Myoung Park enrolled in Medicare?

Yes. Myoung 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.

What insurance does Myoung Park accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Myoung 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 Myoung Park was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.