DR. YOOJUN PARK DDS
NPI 1972910107
Dentist - Periodontics in Englewood, NJ

Q: What is Yoojun Park's NPI number?

The NPI number for Yoojun Park is 1972910107. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Q: What is Yoojun Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Yoojun Park was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 21, 2014PECOS Enrolled

401A SOUTH VAN BRUNT ST STE 205, ENGLEWOOD, NJ 07631(201) 408-2808(201) 227-0603 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Yoojun Park Dds NPPES

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

DR. YOOJUN PARK DDS (NPI 1972910107) is an individual periodontics provider in Englewood, New Jersey, licensed in New Jersey (22DI02573600) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cliffside Park.

NPPES Registry Identity

NPI1972910107

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. YOOJUN PARKCredential: DDS

Location Address401A SOUTH VAN BRUNT ST STE 205Englewood, NJ 07631-4979

Mailing Address401a South Van Brunt St Ste 205Englewood, NJ 07631-4979 · (201) 408-2808 · Fax (201) 227-0603

Phone(201) 408-2808

Fax(201) 227-0603

Sole ProprietorYes

Enumeration DateJuly 21, 2014

Last NPPES UpdateMarch 13, 2020

NPPES CertifiedMarch 13, 2020

✔ NPI 1972910107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in NJ · 22DI02573600✔ Licensed in NY · 057340

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

401A SOUTH VAN BRUNT ST STE 205, Englewood, NJ 07631

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Secondary Practice Location 1

Location 1537 Anderson AveCliffside Park, NJ 07010-1722 · Phone (917) 815-6063

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. Yoojun Park Dds 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 07631 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

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.

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 Yoojun Park's NPI number?

The NPI number for Yoojun Park is 1972910107. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Yoojun Park located?

Yoojun Park practices at 401A South Van Brunt St Ste 205, Englewood, NJ 07631. The listed phone number is (201) 408-2808.

What is Yoojun Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Yoojun Park enrolled in Medicare?

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

What insurance does Yoojun 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, Humana and Renaissance Dental and 1 other insurer list Yoojun 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 Yoojun Park was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.