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TAEYANG PARK MD
NPI 1659865301
Internal Medicine - Gastroenterology in Berkeley Heights, NJ

Active since June 17, 2018PECOS EnrolledAccepts Medicare Assignment
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8940(908) 673-7140 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2024, Jun 17, 2018 (2 updates tracked since 2018).

About Taeyang Park Md NPPES

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

TAEYANG PARK MD (NPI 1659865301) is an individual gastroenterology provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA11852200) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2018).

NPPES Registry Identity

NPI1659865301
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTAEYANG PARKCredential: MD
Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Phone(908) 277-8940
Fax(908) 673-7140
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2018
Enumeration DateJune 17, 2018
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1659865301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA11852200
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 DIAMOND HILL RD, Berkeley Heights, NJ 07922
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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

Taeyang Park Md 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 ID8123559945
PECOS Enrollment IDI20260603001374
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 Taeyang Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Digestive Disease Care, PC
71 mi
Gastroenterology
235 N BELLE MEAD RD
East Setauket, NY 11733
  • Reassigned Medicare billing, New York enrollment
  • 60 clinicians in this Medicare group
NPI 1184871774 (631) 450-1500

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 6

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.

Injection, zoledronic acid, 1 mg J3489
Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
55 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
21 services19 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services18 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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.

SILPA GADIRAJU M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DR. JOHN H DOKKO DO
Internal Medicine (Nephrology)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DENISE RIZZOLO PA
Physician Assistant
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
MARIA F DOMINGUEZ BERMEO MD
Family Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 219-6940
DR. LAWRENCE J NASTRO MD
Internal Medicine (Infectious Disease)
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
DEBRA A RYAN PT
Physical Therapist
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922
Union County (908) 273-4300
CHRISTOPHER M BONI DO
Internal Medicine
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 277-8683
LAUREN BARON P.A.
Physician Assistant (Medical)
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922
Union County (908) 277-8880

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 Taeyang Park's NPI number?

The NPI number for Taeyang Park is 1659865301. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Where is Taeyang Park located?

Taeyang Park practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8940.

What is Taeyang Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Taeyang Park enrolled in Medicare?

Yes. Taeyang 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 organization bills Medicare for Taeyang Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taeyang Park reassigns Medicare benefits to Digestive Disease Care, PC (East Setauket, 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 Taeyang Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taeyang Park was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.