Jung Park, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Philadelphia, PA
NPI 1659517902 · NPPES record last updated Dec 16, 2008
Key facts
- NPI
- 1659517902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MT190879 (PA)
- Practice address
- 3401 N Broad St
Outpatient Building 6TH FL.
Philadelphia, PA 19140-5103 - Phone
- (215) 707-2111
- NPI assigned
- Dec 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hand Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bucks County Orthopedic Specialists, PC
Rehabclinics SPT Inc
Practice addresses (Care Compare)
2800 Kelly Rd
Suite 300
Warrington, PA 18976-3630
Phone (215) 348-7000
4275 County Line Rd
Suite 26
Chalfont, PA 18914-2212
Phone (267) 952-8120
Hospital & facility affiliations
- Doylestown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130824000251 | PA | Practitioner - Hand Surgery |
2769625664 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT190879 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bucks County Orthopedic Specialists, PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Bucks County Orthopedic Specialists, PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Delaware River Surgical Suites, LLC | Past |
Accepting new patients |
Locations
595 W State St
Doylestown, PA 18901
Phone (215) 345-2200
800 W State St
Ste 201
Doylestown, PA 18901
Phone (215) 348-4478
2800 Kelly Rd
Ste 300
Warrington, PA 18976
Phone (215) 348-3068
Interoperability endpoints
- jung.park@dhcp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MT190879 | PA | Yes |
Addresses
Primary practice location
3401 N Broad St
Outpatient Building 6TH FL.
Philadelphia, PA 19140-5103
Mailing address
3401 N Broad St
Outpatient Building 6TH FL.
Philadelphia, PA 19140-5103
Other providers in Philadelphia, PA
- Jinhui Park
- Jiwon Victoria Park
- Jooyeon Park
- Joseph Hwan Park
- Julia Park
- Jung E Park
- Jung Won Park
- Peter Sang Uk Park
- Robert Eoin Park
- Sarah Park
All providers in Philadelphia, PA · Orthopaedic Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.