Individual provider Active NPI

Sujung Park, M.D.

  • Hematology & Oncology Physician
  • Newark, DE
National Provider Identifier
1811218621
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C1-0011704 Issued in DE
Practice address
4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-2055
Phone
(302) 366-1200
Fax
(302) 366-1700
NPI assigned
Jun 15, 2010
Last updated
Jul 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C1-0011704 DE Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-2055

Mailing address

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-2055
Phone (302) 366-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20160909000363 DE Practitioner - Hematology/Oncology 6406092055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Oncology Hematology Consultants PAGroup PAC ID 6305923756, 32 clinicians

Practice addresses (Care Compare)

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-7007
Phone (302) 366-1200

651 N Broad St
Suite 406
Middletown, DE 19709-6404
Phone (302) 366-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.39 of 100Reported as individual
Quality
85.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Oncology Hematology Consultants PA Hematology & Oncology CurrentSince Aug 2, 2016 Accepting new patients

Locations

272 Carter Dr
Ste 200
Middletown, DE 19709
Phone (302) 449-1710

651 N Broad St
Ste 406
Middletown, DE 19709
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 3400
Newark, DE 19713
Phone (302) 366-1200

Interoperability endpoints

  • Direct secure messaging: sujung.park@mohc.ikm.direct-ci.com

Organizations & group practices 1

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 9

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1811218621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 3400",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-366-1200",
            "fax_number": "302-366-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 3400",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-366-1200",
            "fax_number": "302-366-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUJUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "DE",
            "license": "C1-0011704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.