Individual Healthcare Provider
Yoojun Park, DDS
Provider's NPPES record last updated: March 13, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1972910107
- Primary Specialty
- Dentist — Periodontics
- Practice Location
- Englewood, New Jersey
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 3:50 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Periodontics
Dental Providers
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Taxonomy code 1223P0300X
Provider-Reported License Information
- Dentist (New Jersey)
- 22DI02573600
- Dentist (New York)
- 057340
Practice Locations
Practice Location
401a South Van Brunt St Ste 205
Englewood, New Jersey 07631-4979
Phone: (201) 408-2808
Additional Practice Location
537 Anderson Ave
Cliffside Park, New Jersey 07010-1722
Phone: (917) 815-6063
Record Information
- Enumeration Date
- July 21, 2014
- Provider's NPPES Record Last Updated
- March 13, 2020
- Certification Date
- March 13, 2020
- NPISignal NPPES Dataset
- August 2026
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