Joo Hyoung Park

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02955500 Issued in NJ

Practice address

333 Route 46 Ste 2-7a
Mountain Lakes, NJ 07046-1743

Phone

(862) 286-8895

NPI assigned

Sep 8, 2015

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1659749612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ROUTE 46 STE 2-7A",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461743",
            "telephone_number": "862-286-8895",
            "fax_number": "862-286-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ROUTE 46 STE 2-7A",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461743",
            "telephone_number": "862-286-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOO HYOUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061725",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02955500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Beth Orlofski, CNM
• Darlene M Osipuk, MD
• Panacea Id Health LLC
• Christopher George Parigoris, PSY.D.
• Hyeun S Park, MD
• John Anton Parkinson Jr., OT
• Peter Dabrowski M.D. PC
• Piece by Piece Therapeutics
• Podias Enterprises LLC Dba Synergy Home Care (SYNERGY Home Care)
• Christina Polgar, DPT

• Pediatric Dentistry in Mountain Lakes, NJ
• Providers in Mountain Lakes, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.