Individual provider Active NPI

Won Jun Park, M.D.

  • Cardiovascular Disease Physician
  • Edison, NJ
National Provider Identifier
1144645979
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA13027400 Issued in NJ
Practice address
98 James St Ste 104
Edison, NJ 08820-3902
Phone
(732) 494-6300
Fax
(732) 494-2490
NPI assigned
Mar 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 280926 NY
Cardiovascular Disease Physician 207RC0000X 25MA13027400 NJ Primary

Addresses

Primary practice location

98 James St Ste 104
Edison, NJ 08820-3902

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

1 Healthy Way # E1
Oceanside, NY 11572-1551
Phone (516) 632-3672

Other practice location 2

98 James St Ste 300
Edison, NJ 08820-3972
Phone (732) 548-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SD, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180226001199 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800105545 Reassigns benefits to 2 organizations
I20250909003559 SD Practitioner - Cardiovascular Disease (Cardiology) 6800105545 Reassigns benefits to 1 organization
I20260618004111 NJ Practitioner - Cardiovascular Disease (Cardiology) 6800105545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai School of MedicineGroup PAC ID 6406096544, 150 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3670

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

98 James St
Suite 104
Edison, NJ 08820-3902
Phone (732) 494-6300

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA13027400NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC Multi-Specialty CurrentSince Apr 29, 2018 Accepting new patients
South Nassau Communities Hospital Current Accepting new patients
Sanford Medical Center Multi-Specialty CurrentSince Jun 27, 2025 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Sanford Medical Center Multi-Specialty CurrentSince Jun 27, 2025 Accepting new patients

Locations

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

1 Healthy Way
#E1
Oceanside, NY 11572
Phone (516) 632-3672

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: wonjunpark@snch.allscriptsdirect.net
  • Direct secure messaging: wpark200198@direct-guthrie.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1144645979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JAMES ST STE 104",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-494-6300",
            "fax_number": "732-494-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Healthy Way # E1",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115721551",
            "country_code": "US",
            "telephone_number": "516-632-3672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 James St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203972",
            "country_code": "US",
            "telephone_number": "732-548-2523",
            "fax_number": "732-549-8827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "WON JUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "280926",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA13027400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.