Individual provider Active NPI

Sung-Min Park, M.D., PH.D.

  • Neurology Physician
  • New Haven, CT
National Provider Identifier
1407293913
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
63838 Issued in CT
Practice address
800 Howard Ave Lowr Level
New Haven, CT 06519
Phone
(917) 494-5429
NPI assigned
May 24, 2013
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X U5482 TX
Neurology Physician 2084N0400X A135313 CA
Neurology Physician 2084N0400X 63838 CT Primary

Addresses

Primary practice location

800 Howard Ave Lowr Level
New Haven, CT 06519

Mailing address

800 Howard Ave Lowr Level
New Haven, CT 06519-1369
Phone (917) 494-5429

Other practice location 1

550 1st Ave
NYU Langone Medical Center
New York, NY 10016-6402
Phone (212) 263-5506

Other practice location 2

800 Howard Ave Lowr Level
New Haven, CT 06519
Phone (917) 494-5429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT, TX3 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
I20170613001513 CA Practitioner - Neurology 0648548800 Reassigns benefits to 1 organization
I20190826003519 CT Practitioner - Neurology 0648548800 Reassigns benefits to 1 organization
I20240124000126 TX Practitioner - Neurology 0648548800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gamma Neuro Network IncGroup PAC ID 5294187290, 5 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

2828 Canto Trce
Leander, TX 78641-5568
Phone (310) 923-1437

475 Washington Blvd
Marina del Rey, CA 90292-5287
Phone (310) 923-1437

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135313CAMDNeurology Physician
63838CTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Neurology CurrentSince Aug 1, 2019 Accepting new patients
Yale University CurrentSince Aug 1, 2019 Accepting new patients
Gamma Neuro Network Inc CurrentSince Nov 24, 2023 Accepting new patients
Current Diagnostics Pro III LLC Neurology Past Accepting new patients

Locations

475 Washington Blvd
Marina del Rey, CA 90292
Phone (310) 571-8156

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

800 Howard Ave
Lowr
New Haven, CT 06519
Phone (203) 785-4085

Interoperability endpoints

  • Direct secure messaging: spark308308@direct.uclahealth.org
  • Direct secure messaging: spark432135@direct.ynhh.org
  • Direct secure messaging: spark688351@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 7

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1407293913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE LOWR LEVEL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "917-494-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE LOWR LEVEL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06519",
            "telephone_number": "917-494-5429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 1st Ave",
            "address_2": "NYU Langone Medical Center",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Howard Ave Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06519",
            "country_code": "US",
            "telephone_number": "917-494-5429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNG-MIN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U5482",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A135313",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "63838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.