SOO-MI MI PARK (NPI# 1780700781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780700781 |
| Entity Type | Individual |
| Full Name | SOO-MI MI PARK |
| Credential | MD |
| Practice Address |
493 Essex Avenue Hackensack NJ 07601-1215 |
| Practice Telephone | 2019969244 |
| Practice Fax Number | 2019969243 |
| Mailing Telephone | 2019969244 |
| Mailing Fax Number | 2019969243 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA08918200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 237492 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA08918200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
25MA08918200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
493 ESSEX AVENUE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013025733 | Angel J Mulkay | Internal Medicine | 493 Essex Avenue, Hackensack, NJ 07601 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417242769 | Jiefu Zheng | Nuclear Medicine | 150 Bergen St # H141, Newark, NJ 07103 | 2011-06-15 |
| 1043311061 | Jeffrey Edward Carter | Nuclear Medicine | 2 Tudor Ct, Marlton, NJ 08053-2085 | 2006-09-25 |
| 1013930627 | John Raj Mathew | Nuclear Medicine | 377 S Harrison St Apt 10f, East Orange, NJ 07018-1219 | 2006-07-25 |
| 1316997893 | Sovereign Health Imaging, LLC | Nuclear Medicine | 630 Broad Street, Carlstadt, NJ 07072-0468 | 2006-05-12 |
| 1467552257 | Sang Oh Lee | Nuclear Medicine | 201 Lyons Ave, Suite G4, Newark, NJ 07112-2027 | 2006-09-22 |
| 1902913155 | Ramonslaomdpc | Nuclear Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-08-24 |
| 1376556647 | Ramon Soliano Lao | Nuclear Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-08-15 |
| 1972512754 | Keith F Dockery | Nuclear Medicine | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2006-08-07 |
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on SOO-MI MI PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.