Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soo Hyun Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558256552

Soo Hyun Park is a Student in an Organized Health Care Education/Training Program in Edison, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025
Specialties on file
2

Practice location Address checks out

65 James St
Edison, NJ 08820-3947
Phone: (708) 510-9333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00949800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558256552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address221 Kelton St Apt 18, Allston, MA 02134-4313

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