JOSHUA DOUGLAS PARK PA-C
NPI 1457470833
Physician Assistant - Surgical in Cherry Hill, NJ

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment

82.96/100

CMS Quality Rating

1 BRACE RD STE H, CHERRY HILL, NJ 08034(856) 547-0389(856) 428-4053 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2021, Jan 6, 2021 (2 updates tracked since 2021).

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About Joshua Douglas Park Pa-c NPPES

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

JOSHUA DOUGLAS PARK PA-C (NPI 1457470833) is an individual surgical provider in Cherry Hill, New Jersey, licensed in New Jersey (25MP00600700) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Broomall.

NPPES Registry Identity

NPI1457470833

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJOSHUA DOUGLAS PARKCredential: PA-C

Location Address1 BRACE RD STE HCherry Hill, NJ 08034

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330

Phone(856) 547-0389

Fax(856) 428-4053

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 28, 2007

Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1457470833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NJ · 25MP00600700

Also ListedPhysician AssistantTaxonomy 363A00000X · License MA051536 (PA)

1 BRACE RD STE H, Cherry Hill, NJ 08034

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Secondary Practice Location 1

Location 12004 Sproul RdBroomall, PA 19008-3511 · Phone (610) 353-0800

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

Joshua Douglas Park Pa-c 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 ID5890740542

PECOS Enrollment IDI20210407000981, I20250110002527

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268

This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.

25 services25 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

25 services25 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.83

Promoting Interoperability

Improvement Activities

Cost

55.22

Other Providers at the Same Location NPPES 17

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

DR. PASQUALE A. LUCIANO D.O.

Thoracic Surgery (Cardiothoracic Vascular Surgery)