SOO-MI MI PARK (MD) – Nuclear Imaging & Therapy Physician, NPI 1780700781

SOO-MI MI PARK (MD) is a healthcare provider. based in Hackensack, New Jersey. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 237492 (NY). The NPI Number for SOO-MI MI PARK (MD) is 1780700781

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SOO-MI MI PARK (MD)
NPI
1780700781
Phone
(201) 996-9244
Address
493 ESSEX AVENUE
Enumeration Date
21 March 2007
Last Update Date
15 October 2013

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
2018333000
Graduation Year
2004 (22 years ago)
PAC ID
9830282425
Group Practice PAC ID
5294798849
Professional Enrollment ID
I20110817000613
Address ID
NJ076664245TE718XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,303 CARDIOVASCULAR DISEASE (CARDIOLOGY) in NJ

Provider Addresses for SOO-MI MI PARK (MD)

  • 493 ESSEX AVENUE

    HACKENSACK, NJ 076011215

    Phone: (201) 996-9244

    Fax: (201) 996-9243

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,311.

Total Amount is formed as General ($1,311) + Research ($0) + Ownership ($0) = $1,311.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Abbott Laboratories ($776).

Total Amount

$1,311

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,311

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-17

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110817000613ICardiovascular Disease (Cardiology)NJTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes840241$0
99214Established patient office or other outpatient visit, 30-39 minutes323177$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function177174$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only166158$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes159146$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Provider's Procedures

SOO-MI MI PARK (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)NJ78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies8281
CARDIOVASCULAR DISEASE (CARDIOLOGY)NJ93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report730655

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294798849View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Cardiac SurgeryNJ
-NJ
Cardiovascular Disease (Cardiology), Interventional CardiologyNJ
Cardiovascular Disease (Cardiology)NJ
Cardiovascular Disease (Cardiology)NJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Cardiovascular Disease (Cardiology)NJ
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Cardiovascular Disease (Cardiology)NJ
Cardiovascular Disease (Cardiology)NJ

Reviews

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Frequently asked questions

Can I cross-check SOO-MI MI PARK (MD) using NPI 1780700781?
NPI 1780700781 belongs to SOO-MI MI PARK (MD); compare other details if you need extra assurance.
Is SOO-MI MI PARK (MD) shown as active in public data?
Registry records indicate SOO-MI MI PARK (MD) maintains an active NPI.
What area of care is associated with SOO-MI MI PARK (MD)?
SOO-MI MI PARK (MD)'s record emphasizes Nuclear Imaging & Therapy Physician. Clinical services aligned with this taxonomy classification.
Is SOO-MI MI PARK (MD) associated with Hackensack?
Public fields place SOO-MI MI PARK (MD) around Hackensack, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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