Sun H Park, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00745900 Issued in NJ

Practice address

1600 Parker Ave Ste 1
Fort Lee, NJ 07024-7050

Phone

(908) 578-9375

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rejuvenative Wellness LLCGroup PAC ID 7315468808, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rejuvenative Wellness LLC

  • Multi-Specialty Clinic/Center
  • Fort Lee, NJ
  • NPI 1164240156

  Chiropractor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1801326152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GREENWOOD AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322326",
            "telephone_number": "908-578-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PARKER AVE STE 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247050",
            "telephone_number": "908-578-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUN",
        "middle_name": "H",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00745900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Chu Park, D.M.D.
• Samue C. Park, D.C.
• Sara Park
• Shul Hyung Park, R.PH
• Soui Park
• Susanna Miran Park, L.AC.
• Yeji Park
• Yongtack Park
• Khimiya M Paryani, D.M.D
• Mahrshi Kiritkumar Patel, PTA

• Chiropractor in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.