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

Su Young Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427406560

Su Young Park, MD is a Pediatric Medicine in Scranton, Pennsylvania. Qualified in 2013, 13 years ago. Licensed in New Jersey and Pennsylvania.

Years since qualifying
13
Licensed in
NJ, PA
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 Mulberry St
Scranton, PA 18510-2369
Phone: (570) 703-8000
Fax: (570) 703-8559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA11453500 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence MD467941 (PA)

Record details

NPI number1427406560
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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