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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Soo Jung Park

PA-C

Physician Assistant

NPI: 1225836844Dulles, Virginia, 20166(703) 858-3220Female

About Soo Jung Park

Soo Jung Park, PA-C, is a female healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1225836844. Soo Jung Park received her medical education at OTHER, graduating in 2024.

Their primary practice is located at 24430 STONE SPRINGS BLVD SUITE 275, Dulles, Virginia 20166. Patients can reach the office at (703) 858-3220. In addition to the primary location, Soo Jung Park maintains 2 additional practice locations.

Soo Jung Park is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications. Soo Jung Park has been NPI-registered since 2025.

Key Metrics

Practice Locations

3

Doctor Details

Identity & Credentials

NPI Number
1225836844
Entity Type
Individual
First Name
Soo Jung
Last Name
Park
Credential
PA-C
Gender
Female
Medical School
OTHER
Graduation Year
2024
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
24430 STONE SPRINGS BLVD SUITE 275
City
Dulles
State
Virginia
ZIP
20166-2270
Country
United States
Phone
(703) 858-3220

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
224-D CORNWALL STREET, NW, SUITE 403
City
LEESBURG
State
VA
ZIP
201762704

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Soo Jung Park's NPI number?
Soo Jung Park's National Provider Identifier (NPI) is 1225836844. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Soo Jung Park specialize in?
Soo Jung Park specializes in Physician Assistant. They received their medical education at OTHER (class of 2024).
Where is Soo Jung Park located?
Soo Jung Park practices at 24430 STONE SPRINGS BLVD SUITE 275, Dulles, Virginia 20166. You can reach them by phone at (703) 858-3220. They also have 2 additional practice locations.
Does Soo Jung Park accept Medicare?
Yes, Soo Jung Park is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Soo Jung Park offer telehealth or virtual visits?
Soo Jung Park does not currently offer telehealth services. In-person visits are required at their practice location.
Can Soo Jung Park prescribe medications?
Yes, Soo Jung Park is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Soo Jung Park is 1225836844.