Yoojun Park, DDS

Public-record details

Address

401a South Van Brunt St Ste 205, Englewood, NJ 07631

Phone

(201) 408-2808

Listed under

Periodontists

NPI

1972910107

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Periodontics (1223P0300X)

Credentials listed

DDS

License number on NPI record

22DI02573600 (NJ)

NPI first issued

Jul 21, 2014

NPI record last updated

Mar 13, 2020

NPI 1972910107 is active in the federal NPPES registry (CMS) with Periodontics, an ADA-recognized dental specialty, as its primary taxonomy; license 22DI02573600 (NJ) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Periodontists specialize in the gums and bone that support the teeth, including placing implants, gum and bone grafting, and treating gum disease. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1972910107 in the official registry ↗