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

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: October 25, 2026.

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

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 and maintains a secondary practice location in Brooklyn.

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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Secondary Practice Location 1

Location 1150 55th StBrooklyn, NY 11220-2508 · Phone (718) 630-6875

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sun Joo Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

William F. Ryan Community Health Center Inc
Same address
Federally Qualified Health Center (FQHC)
279 E 3RD ST
New York, NY 10009
  • Reassigned Medicare billing, New York enrollment
  • 186 clinicians in this Medicare group
NPI 1588691828 (212) 477-8500

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 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.

ELAINE MARTIN-THOMAS LPN
Licensed Practical Nurse
279 E 3RD ST
NEW YORK, NY 10009
New York County (212) 477-8500
MARY CLAIRE OBECK CPNP-PC
Nurse Practitioner (Pediatrics)
279 E 3RD ST
NEW YORK, NY 10009
New York County (212) 749-1820
YANICK MAY LPN
Licensed Practical Nurse
279 E 3RD ST
NEW YORK, NY 10009
New York County (212) 477-8500
KATHRYN J. SANTARPIA R.N.
Registered Nurse (Pediatrics)
279 E 3RD ST
NEW YORK, NY 10009
New York County (212) 477-8500
JUAN ALLENDE R.N.
Registered Nurse
279 E 3RD ST
NEW YORK, NY 10009
New York County (212) 447-8500
DR. KAREN CHOI OH OD
Optometrist
279 E 3RD ST
NEW YORK, NY 10009
New York County (516) 578-2827
LESLEY MAH
Social Worker
279 E 3RD ST
NEW YORK, NY 10009
New York County (212) 477-8500
BLAISE YAEL JACOBSON LMSW
Social Worker (Clinical)
279 E 3RD ST
NEW YORK, NY 10009
New York County (347) 344-8497

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 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.

Where is Sun Joo Park located?

Sun Joo Park practices at 279 E 3rd St, New York, NY 10009. The listed phone number is (212) 477-8500.

What is Sun Joo Park's specialty?

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

Is Sun Joo Park enrolled in Medicare?

Yes. Sun Joo Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sun Joo Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sun Joo Park reassigns Medicare benefits to William F. Ryan Community Health Center Inc (New York, NY). 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 Sun Joo Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sun Joo Park accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Sun Joo 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 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 13 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.