Soo Mi Park (NPI# 1780700781, PAC ID# 9830282425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1780700781 |
| PAC ID by PECOS | 9830282425 |
| Professional Enrollment ID | I20110817000613 |
| Full Name | Soo Mi Park |
| Organization Legal Name | HMC CARDIAC DIAGNOSTIC SERVICE |
| Address |
30 Prospect Ave Hackensack NJ 07601-1915 |
| Phone Number | 8002135135 |
| Gender | F |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2004 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3274523048 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310008 | HOLY NAME MEDICAL CENTER |
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| 310003 | HACKENSACKUMC PALISADES |
| Address | Phone | Organization |
|---|---|---|
| 15 Vervalen St, Closter, NJ 07624-2635 | 2019969244 | MULKAY CARDIOLOGY CONSULTANTS AT HOLY NAME MEDICAL CENTER, PC |
| 30 Prospect Ave, Hackensack, NJ 07601-1915 | 8002135135 | HMC CARDIAC DIAGNOSTIC SERVICE |
| 493 Essex St, Hackensack, NJ 07601-1215 | 2019969244 | MULKAY CARDIOLOGY CONSULTANTS AT HOLY NAME MEDICAL CENTER, PC |
| 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2018337139 | HOLY NAME HOSPITAL EKG INTERPRETATION GROUP |
| 529 39th St, Union City, NJ 07087-2598 | 2016010900 | MULKAY CARDIOLOGY CONSULTANTS AT HOLY NAME MEDICAL CENTER, PC |
| Organization Legal Name | HMC CARDIAC DIAGNOSTIC SERVICE |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Wild | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Hrach I Kasaryan | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Baback Adibi | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| H Mark Denson | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Sanjeev N Patel | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Virender Sethi | Interventional Cardiology | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Timothy E Simpson | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Sarah Timmapuri | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Taya Glotzer | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Robert L Berkowitz | Cardiovascular Disease (cardiology) | Hmc Cardiac Diagnostic Service | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Street Address |
30 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip | 07601-1915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesus R Alvarez Perez | Obstetrics/gynecology | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Hong Cheng | Pathology | Hackensack Pathology Associates, LLC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Parul P Lakhlani | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Paarth Raj | Emergency Medicine | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Duncan S Eckhardt | Certified Registered Nurse Anesthetist (crna) | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Philip O Eck | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| David K Chen | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Somdatta Gupta | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Ellen A Ronnen | Medical Oncology | Regional Cancer Care Associates LLC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Mukesh Solanky | Neurology | Hackensack Non Invasive Vascular Laboratory Associates | 30 Prospect Ave, Rm G231, Hackensack, NJ 07601-1915 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Kimberly Rozzelle | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| Robert Mateo | Nurse Practitioner | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 | |
| Geraldine Charles | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| David J Bikoff | Plastic and Reconstructive Surgery | 146 Rt 17, 3rd Floor, Hackensack, NJ 07601-1038 | |
| John J Vaccaro | Plastic and Reconstructive Surgery | 146 N State Rt, Suite 3, Hackensack, NJ 07601-1038 | |
| Arie Rosen | Otolaryngology | 2 S Summit Ave, Hackensack, NJ 07601-1117 | |
| Jeffrey Schlesinger | Chiropractic | 5 Summit Ave, Suite 101, Hackensack, NJ 07601-1214 | |
| Rey I Pella | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Julie Y An | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Joseph C Yu | Cardiovascular Disease (cardiology) | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Find all physicians in zip 07601 | |||
| City | HACKENSACK |
| Zip Code | 07601 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | HACKENSACK + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Soo Mi Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.