HYO SOON PARK (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1346894482
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
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Provider Addresses for HYO SOON PARK (PMHNP)
15, Forest Street, Abram Demaree Homestead, Closter, Bergen County, New Jersey, 07624, United States
CLOSTER, NJ 076241002
Phone: (201) 916-5485
Type: Mailing
Dean Drive, Tenafly, Bergen County, New Jersey, 07670, United States
TENAFLY, NJ 076702765
Phone: (201) 568-8288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190821002070 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 1,599 | 310 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 1,122 | 170 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 534 | 135 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 251 | 189 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 102 | 101 | $0 |
Insurance plans in this area (ZIP 07624)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Clinical Social Worker | NY | |
| Psychiatry, Geriatric Psychiatry, Geriatric Psychiatry | NJ | |
| - | NJ |
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