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DR. JUNG KI PARK MD
NPI 1922399351
Obstetrics & Gynecology in Newark, NJ

Active since April 19, 2011PECOS Enrolled
73.27/100
CMS Quality Rating
185 S ORANGE AVE, MSB E-532, NEWARK, NJ 07103(973) 972-5482(973) 972-4574 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2022, Oct 17, 2016, Oct 13, 2016 (3 updates tracked since 2016).

About Dr. Jung Ki Park Md NPPES

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

DR. JUNG KI PARK MD (NPI 1922399351) is an individual obstetrics & gynecology provider in Newark, New Jersey, licensed in New Jersey (25MA09881800) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922399351
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUNG KI PARKCredential: MD
Location Address185 S ORANGE AVE, MSB E-532Newark, NJ 07103-2757
Mailing Address185 S Orange Ave, Msb E-532Newark, NJ 07103-2757 · (973) 972-5482 · Fax (973) 972-4574
Phone(973) 972-5482
Fax(973) 972-4574
Sole ProprietorNo
Enumeration DateApril 19, 2011
Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1922399351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NJ · 25MA09881800✔ Licensed in NY · 183815-1
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
185 S ORANGE AVE, Newark, NJ 07103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jung Ki 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jung Ki Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Associates Of New Jersey Inc
0.2 mi
Obstetrics & Gynecology
140 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
NPI 1922018514 (973) 972-2700
Montefiore Medical Center
12 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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. DEEPA ASOKAN M.D.
Anesthesiology
185 S ORANGE AVE, MSB STE E547
NEWARK, NJ 07103
Essex County (973) 972-5006
LISSETTE MARIA CESPEDES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
185 S ORANGE AVE, MSB I588
NEWARK, NJ 07103
Essex County (973) 972-3479
MS. ELENA L WICKSTROM MD
Emergency Medicine
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (732) 445-4636
ALEXANDRA M. SELBERG
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-5018
CHEYNYA JOHNSON-BRIMLEY PA-C
Physician Assistant (Medical)
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (848) 445-4636
KIRSYS GUERRERO FUENTES MD
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (646) 640-6429
SAGAR PATEL
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-6049
DR. EVANIE ANGLADE MD
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Essex County (973) 972-6049

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 Jung Ki Park's NPI number?

The NPI number for Jung Ki Park is 1922399351. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Jung Ki Park located?

Jung Ki Park practices at 185 S Orange Ave Msb E-532, Newark, NJ 07103. The listed phone number is (973) 972-5482.

What is Jung Ki Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jung Ki Park enrolled in Medicare?

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

Which organizations bill Medicare for Jung Ki Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jung Ki Park reassigns Medicare benefits to 2 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ) and Montefiore Medical Center (New York, NY). 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 Jung Ki 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 Jung Ki Park was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.