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SEOUNG SOU PARK MD
NPI 1902948193
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mount Vernon, NY

Active since February 13, 2007PECOS Enrolled
105 STEVENS AVENUE, SUITE 310, MOUNT VERNON, NY 10550(914) 663-6635(914) 663-6637 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seoung Sou Park Md NPPES

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

SEOUNG SOU PARK MD (NPI 1902948193) is an individual endocrinology, diabetes & metabolism provider in Mount Vernon, New York, licensed in New York (197192) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902948193
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSEOUNG SOU PARKCredential: MD
Location Address105 STEVENS AVENUE, SUITE 310Mount Vernon, NY 10550-2686
Mailing Address105 Stevens Avenue, Suite 310Mount Vernon, NY 10550-2686 · (914) 663-6635 · Fax (914) 663-6637
Phone(914) 663-6635
Fax(914) 663-6637
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902948193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 197192
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
105 STEVENS AVENUE, Mount Vernon, NY 10550
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Other Identifiers 6

Medicare UPING45574
Other7464117Aetna
Medicare ID-Type Unspecified21N461NY
Medicaid01729675NY
Other21N461NY · Empire Bcbs
OtherP1229667Oxford Health Plan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seoung Sou Park Md 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 10550 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIYANA AMARIS MATONDO COTA
Occupational Therapy Assistant
105 STEVENS AVENUE
MOUNT VERNON, NY 10550
Westchester County (914) 668-4238

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 Seoung Park's NPI number?

The NPI number for Seoung Park is 1902948193. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Seoung Park located?

Seoung Park practices at 105 Stevens Avenue Suite 310, Mount Vernon, NY 10550. The listed phone number is (914) 663-6635.

What is Seoung Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Seoung Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Seoung Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.