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SOO-MI MI PARK MD NPI 1780700781


NPI Information

NPI: 1780700781
Provider Name: SOO-MI MI PARK, MD
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Individual

Specialization: Nuclear Imaging & Therapy

Organization: HMC CARDIAC DIAGNOSTIC SERVICE

PECOS Registration: Yes

Address:
493 ESSEX AVENUE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 996-9244
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Soo-mi Mi Park, MD is a nuclear imaging and therapy nuclear medicine in Hackensack, NJ with 20 years of experience. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. Soo-mi Mi Park, MD NPI is 1780700781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2004

The provider's business location address is:

493 ESSEX AVENUE
HACKENSACK, NJ
ZIP 07601-215
Phone: (201) 996-9244
Fax: (201) 996-9243

The NPI 1780700781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine237492NEW YORKNo
2207RC0000XInternal MedicineCardiovascular Disease25MA08918200NEW JERSEYNo
3207R00000XInternal Medicine25MA08918200NEW JERSEYNo
4207UN0902XNuclear MedicineNuclear Imaging & Therapy25MA08918200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.