Soo-mi Mi Park, MD is a medicare enrolled "Nuclear Medicine - Nuclear Imaging & Therapy" physician in Hackensack, New Jersey. Her current practice location is
493 Essex Avenue, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 996-9244.
Soo-mi Mi Park is licensed to practice in New Jersey (license number 25MA08918200) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780700781.
Physician's Profile
| Full Name | Soo-mi Mi Park |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 493 Essex Avenue, Hackensack, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Soo-mi Mi Park attended and graduated from in
NPI Data:
- NPI Number: 1780700781
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 10/15/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Soo-mi Mi Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780700781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 237492 (New York) | Secondary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | 25MA08918200 (New Jersey) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA08918200 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | 25MA08918200 (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soo-mi Mi Park is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Soo-mi Mi Park, MD
493 Essex Avenue,
Hackensack, NJ 07601-1215
Ph: (201) 996-9244 | Soo-mi Mi Park, MD
493 Essex Avenue,
Hackensack, NJ 07601-1215
Ph: (201) 996-9244 |
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