IndividualActive
Soo Jung Park, PA-C
NPI 1225836844 · Physician Assistant · Dulles, VA
Provider details
- NPI number
- 1225836844
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24430 Stone Springs Blvd Suite 275
Dulles, VA 20166-2270
Phone: (703) 858-3220
Street-level locationGet directions
Mailing address
224-D Cornwall Street, Nw, Suite 403
Leesburg, VA 20176-2704
Additional practice locations (1)
- Msc 4315 235 Martin Luther King Jr WayHarrisonburg, VA 22807-0001Phone: (540) 568-7658
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.