DR. SUNG PARK DMD
NPI 1538427786
Dentist in Woodside, NY

Q: What is Sung Park's NPI number?

The NPI number for Sung Park is 1538427786. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Q: What is Sung 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 Sung Park was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 25, 2012PECOS Enrolled

6804 43RD AVE FL 1, WOODSIDE, NY 11377(347) 459-5235 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sung Park Dmd NPPES

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

DR. SUNG PARK DMD (NPI 1538427786) is an individual dentist in Woodside, New York, licensed in New York (055824) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538427786

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SUNG PARKCredential: DMD

Location Address6804 43RD AVE FL 1Woodside, NY 11377-5153

Mailing Address68-04 43rd Ave 1flWoodside, NY 11377 · (347) 459-5235

Phone(347) 459-5235

Sole ProprietorNo

Enumeration DateApril 25, 2012

Last NPPES UpdateMay 15, 2012

✔ NPI 1538427786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 055824

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.

6804 43RD AVE FL 1, Woodside, NY 11377

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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)

Dr. Sung Park Dmd 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 11377 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

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.

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 Sung Park's NPI number?

The NPI number for Sung Park is 1538427786. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Sung Park located?

Sung Park practices at 6804 43rd Ave Fl 1, Woodside, NY 11377. The listed phone number is (347) 459-5235.

What is Sung Park's specialty?

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

Is Sung Park enrolled in Medicare?

Yes. Sung Park is registered in the Medicare PECOS enrollment system.

What insurance does Sung 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, Renaissance Dental and UnitedHealthcare list Sung 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 Sung Park was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.