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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SU YOUNG PARK M.D.
NPI 1427406560
Pediatrics - Neonatal-Perinatal Medicine in New Brunswick, NJ

Active since May 31, 2016PECOS Enrolled
1 ROBERT WOOD JOHNSON PL DEPT MEB, NEW BRUNSWICK, NJ 08901(732) 235-5709 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2026, Jul 5, 2019 (2 updates tracked since 2019).

About Su Young Park M.d. NPPES

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

SU YOUNG PARK M.D. (NPI 1427406560) is an individual neonatal-perinatal medicine provider in New Brunswick, New Jersey, licensed in New Jersey (25MA11453500) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scranton, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427406560
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameSU YOUNG PARKCredential: M.D.
Location Address1 ROBERT WOOD JOHNSON PL DEPT MEBNew Brunswick, NJ 08901-1928
Mailing Address1 Robert Wood Johnson Pl Dept MebNew Brunswick, NJ 08901-1928 · (732) 235-5709 · Fax (732) 235-6609
Phone(732) 235-5709
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 31, 2016
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1427406560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NJ · 25MA11453500
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 25MA11453500 (NJ), MD467941 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 ROBERT WOOD JOHNSON PL DEPT MEB, New Brunswick, NJ 08901
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Secondary Practice Location 1

Location 11800 Mulberry StScranton, PA 18510-2369 · Phone (570) 703-8000 · Fax (570) 703-8559

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Su Young Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870829625
PECOS Enrollment IDI20260424003288
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 Reassignments

2

Medicare enrollment records show Su Young Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
15 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Geisinger Clinic
85 mi
Family Medicine
3306 LAKE ARIEL HWY
Honesdale, PA 18431
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1720495393 (570) 253-0148

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

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 Su Young Park's NPI number?

The NPI number for Su Young Park is 1427406560. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Su Young Park located?

Su Young Park practices at 1 Robert Wood Johnson Pl Dept Meb, New Brunswick, NJ 08901. The listed phone number is (732) 235-5709.

What is Su Young Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Su Young Park enrolled in Medicare?

Yes. Su Young Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Su Young Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su Young Park reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Geisinger Clinic (Honesdale, PA). Each 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 Su Young 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 Su Young Park was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.