SUN JOO PARK DDS
NPI 1477182103
Dentist in New York, NY

Q: What is Sun Joo Park's NPI number?

The NPI number for Sun Joo Park is 1477182103. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Q: What is Sun Joo Park's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sun Joo Park was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 04, 2020PECOS Enrolled

279 E 3RD ST, NEW YORK, NY 10009(212) 477-8500 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2025, May 15, 2023, Feb 17, 2023 and 2 more (5 updates tracked since 2020).

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About Sun Joo Park Dds NPPES

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

SUN JOO PARK DDS (NPI 1477182103) is an individual dentist in New York, New York, licensed in New York (061801) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477182103

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSUN JOO PARKCredential: DDS

Location Address279 E 3RD STNew York, NY 10009-7813

Mailing Address279 E 3rd StNew York, NY 10009-7813 · (212) 477-8500

Phone(212) 477-8500

Sole ProprietorYes

Enumeration DateApril 4, 2020

Last NPPES UpdateSeptember 3, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1477182103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 061801

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

279 E 3RD ST, New York, NY 10009

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun Joo Park Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10009 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.

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.

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