Soo Hyun Park
Physician Assistant in Edison, New Jersey
1558256552- Practice location
- 65 James St, Edison, NJ 08820-3947
- Phone
- 708-510-9333
- Fax
- —
- Last updated
- August 11, 2025
Soo Hyun Park is a Physician Assistant based in Edison, NJ. Soo Hyun Park practices in Edison, NJ. The NPI Number for Soo Hyun Park is 1558256552 and holds a License No. 25MP00949800 (NJ). The current practice location address for Soo Hyun Park is 65 James St, Edison, NJ 08820-3947 and can be reached out via phone at 708-510-9333.
Provider Profile Details
- NPI Number
- 1558256552
- Provider Name
- Soo Hyun Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 65 James St, Edison, NJ 08820-3947
- Phone Number
- 708-510-9333
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 10, 2025
- Last Update Date
- August 11, 2025
- Certification Date
- August 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 James St
Edison, NJ 08820-3947 - City
- Edison
- State
- New Jersey
- Zip
- 08820-3947
- Phone Number
- 708-510-9333
Provider Business Mailing Address Details
- Address
- 221 Kelton St Apt 18
Allston, MA 02134-4313 - City
- Allston
- State
- MA
- Zip
- 02134-4313
- Phone Number
- 708-510-9333
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MP00949800
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Soo Hyun Park?
The NPI number of Soo Hyun Park is 1558256552. It was assigned on June 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Soo Hyun Park?
Soo Hyun Park is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00949800.
Where does Soo Hyun Park practice?
The practice location is 65 James St, Edison, NJ 08820-3947. The office can be reached at 708-510-9333 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558256552 directly on the NPPES registry website.