Individual provider Active NPI

Hai Sun Park, M.D.

  • Hematology & Oncology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1508805839
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA53599 Issued in NJ
Practice address
464 Hudson Ter Ste 200
Englewood Cliffs, NJ 07632-2917
Phone
(201) 408-5442
Fax
(201) 503-0848
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA53599 NJ
Hematology & Oncology Physician 207RH0003X MA53599 NJ Primary

Addresses

Primary practice location

464 Hudson Ter Ste 200
Englewood Cliffs, NJ 07632-2917

Mailing address

464 Hudson Ter Ste 200
Englewood Cliffs, NJ 07632-2917
Phone (201) 408-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000571 NJ Practitioner - Internal MedicinePractitioner - Hematology/Oncology 7618920133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

464 Hudson Ter
Suite 200
Englewood, NJ 07632-2917
Phone (201) 503-0828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA53599NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Cancer and Integrated Medicine Center, LLC Internal Medicine CurrentSince Jul 19, 2018 Accepting new patients
Hudson MD Group Internal Medicine Past Accepting new patients
Diagnostic Ultrasound Plus Inc Past Accepting new patients

Locations

464 Hudson Ter
Ste 200
Englewood Cliffs, NJ 07632
Phone (201) 408-5442

464 Hudson Ter
Ste 201
Englewood Cliffs, NJ 07632
Phone (201) 503-0828

Organizations & group practices 3

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 1

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1508805839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 200",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-408-5442",
            "fax_number": "201-408-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 200",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322917",
            "telephone_number": "201-408-5442",
            "fax_number": "201-503-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HAI SUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA53599",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA53599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.