Soo-mi Mi Park, MD - Medicare Cardiovascular Disease (cardiology) in Hackensack, NJ

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Soo-mi Mi Park, MD is a medicare enrolled "Nuclear Medicine - Nuclear Imaging & Therapy" physician in Hackensack, New Jersey. She went to Columbia University College Of Physicians And Surgeons and graduated in 2004 and has 20 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Holy Name Hospital Ekg Interpretation Group, Mulkay Cardiology Consultants At Holy Name Medical Center, Pc and 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.

Contact Information

Soo-mi Mi Park, MD
493 Essex Avenue,
Hackensack, NJ 07601-1215
(201) 996-9244
(201) 996-9243

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Physician's Profile

Full NameSoo-mi Mi Park
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience20 Years
Location493 Essex Avenue, Hackensack, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Soo-mi Mi Park attended and graduated from Columbia University College Of Physicians And Surgeons in 2004
  NPI Data:
  • NPI Number: 1780700781
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 10/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9830282425
  • Enrollment ID: I20110817000613

Medical Identifiers

Medical identifiers for Soo-mi Mi Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780700781NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 237492 (New York)Secondary
207UN0902XNuclear Medicine - Nuclear Imaging & Therapy 25MA08918200 (New Jersey)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 25MA08918200 (New Jersey)Secondary
207R00000XInternal Medicine 25MA08918200 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Name Medical CenterTeaneck, NJHospital
Hackensack University Medical CenterHackensack, NJHospital
Palisades Medical CenterNorth bergen, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holy Name Hospital Ekg Interpretation Group529479884913
Mulkay Cardiology Consultants At Holy Name Medical Center, Pc91333558379

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Soo-mi Mi Park allows following entities to bill medicare on her behalf.
Entity NameHoly Name Hospital Ekg Interpretation Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699805978
PECOS PAC ID: 5294798849
Enrollment ID: O20041105000062
Entity NameMulkay Cardiology Consultants At Holy Name Medical Center, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366878019
PECOS PAC ID: 9133355837
Enrollment ID: O20131203000750

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 AddressPractice 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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.