SEONGAE PARK
NPI 1528273075
Nurse Practitioner - Acute Care in Jersey City, NJ
About Seongae Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEONGAE PARK (NPI 1528273075) is an individual acute care provider in Jersey City, New Jersey, licensed in New Jersey (26NJ00112200) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Seongae Park 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.
Medicare Billing Reassignments
2Medicare enrollment records show Seongae Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jersey City, NJ 07304
- Reassigned Medicare billing, New Jersey enrollment
- 14 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 172 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JERSEY CITY, NJ 07305
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 Seongae Park's NPI number?
The NPI number for Seongae Park is 1528273075. It was assigned to this individual provider in the NPPES registry on May 10, 2007.
Where is Seongae Park located?
Seongae Park practices at 1825 Kennedy Boulevard, Jersey City, NJ 07305. The listed phone number is (201) 547-6100.
What is Seongae Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Seongae Park enrolled in Medicare?
Yes. Seongae 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.
Which organizations bill Medicare for Seongae Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seongae Park reassigns Medicare benefits to 2 organizations: Mm Jc Breathing Center Family Ltd Partnership (Jersey City, NJ) and Robert Wood Johnson Physician Enterprise (Somerset, NJ). 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 Seongae Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seongae Park accept?
Health plans from Oscar Health list Seongae 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 Seongae Park was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Seongae Park · NPI 1528273075
Acute Care physician in Jersey City, New Jersey. Individual provider, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1528273075 (Entity type: Individual)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 26NJ00112200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 KENNEDY BOULEVARD, Jersey City, NJ 07305
- **Phone:** (201) 547-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mm Jc Breathing Center Family Ltd Partnership (NPI 1235365354, Jersey City, NJ); Robert Wood Johnson Physician Enterprise (NPI 1245587922, Somerset, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 24, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1528273075) · Data from the CMS NPPES public registry.