MIN JUNG PARK DO
NPI 1700374634
Pediatrics - Neonatal-Perinatal Medicine in Newark, NJ

Q: What is Min Jung Park's NPI number?

The NPI number for Min Jung Park is 1700374634. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is Min Jung Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Min Jung Park was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 26, 2018PECOS Enrolled

201 LYONS AVE, NEWARK, NJ 07112(973) 926-7471 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Apr 26, 2018 (2 updates tracked since 2018).

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About Min Jung Park Do NPPES

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

MIN JUNG PARK DO (NPI 1700374634) is an individual neonatal-perinatal medicine provider in Newark, New Jersey, licensed in California (19091) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700374634

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameMIN JUNG PARKCredential: DO

Location Address201 LYONS AVENewark, NJ 07112-2027

Mailing Address10 Sandalwood DrEdison, NJ 08820-1249

Phone(973) 926-7471

Sole ProprietorYes

Enumeration DateApril 26, 2018

Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1700374634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · 19091

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

201 LYONS AVE, Newark, NJ 07112

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Min Jung Park Do 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.

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.

DR. KEITH MICHAEL SPELLMAN M.D.

Radiology (Diagnostic Radiology)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7960

DR. LARISSA SOPHIA DUDLEY M.D.

Emergency Medicine

201 LYONS AVE, SUITE D11
NEWARK, NJ 07112

Essex County (973) 926-6671

WAQAS BARI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (800) 843-2384

ERIKA YESENIA PINEDA MD

Pediatrics (Pediatric Critical Care Medicine)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

CASEY YEONJOO CHO APN

Nurse Practitioner (Acute Care)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-6938

KARLINA NGUYEN PA-C

Physician Assistant

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

GARY LAYTON DDS

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7642

DR. ALEXIS LORDI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 900-4855

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 Min Jung Park's NPI number?

The NPI number for Min Jung Park is 1700374634. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Min Jung Park located?

Min Jung Park practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7471.

What is Min Jung Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Min Jung Park enrolled in Medicare?

Yes. Min Jung Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Min Jung Park was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.