Active NPI
Sung-Min Park, M.D., PH.D.
- Neurology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 63838
- Practice address
- 800 Howard Ave Lowr Level
New Haven, CT 06519 - Phone
- (917) 494-5429
- NPI assigned
- May 24, 2013
- Last updated
- Jul 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Yale-New Haven Hospital
- Baylor Scott and White Surgical Hospital Fortworth
- Kaweah Health Medical Center
- Hoag Memorial Hospital Presbyterian
- Memorialcare Long Beach Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A135313 | CA | MD | Neurology Physician |
| 63838 | CT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Neurology | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Gamma Neuro Network Inc | Current | 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
- spark308308@direct.uclahealth.org
- spark432135@direct.ynhh.org
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Neurology Physician
- Huntington Beach, CA
- NPI 1710708623
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
dba Baylor Surgical Hospital at Fort Worth Outpatient Center
- Special Hospital
- Fort Worth, TX
- NPI 1568883775
-
dba Baylor Scott & White Surgical Hospital - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871599183
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.