Active NPIIndividual providerSole proprietor

Joseph S Park

Chiropractor in Palisades Park, New Jersey

NPI Number1144919721
Practice location
17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101
Fax
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Last updated
May 1, 2023

Joseph Sungjae Park is a Chiropractor based in Palisades Park, NJ. Joseph Sungjae Park practices in Palisades Park, NJ. The NPI Number for Joseph Sungjae Park is 1144919721 and holds a License No. X013693-01 (NY). The current practice location address for Joseph Sungjae Park is 17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101 and can be reached out via phone at 201-313-1212.

Provider Profile Details

NPI Number
1144919721
Provider Name
Joseph Sungjae Park
Provider Entity Type
Individual
Gender
Male
Address
17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101
Phone Number
201-313-1212
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2023
Last Update Date
May 1, 2023
Certification Date
April 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Brinkerhoff Ter # 202
Palisades Park, NJ 07650-1101
Zip
07650-1101
Phone Number
201-313-1212
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
555 Gorge RD Apt 5F
Cliffside Park, NJ 07010-2240
City
Cliffside Park
State
NJ
Zip
07010-2240
Phone Number
201-388-5332

License Information

License Number (1)
X013693-01
License State (1)
NY
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
38MC00795900
License State (2)
NJ
Taxonomy (2)
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joseph S Park?

The NPI number of Joseph S Park is 1144919721. It was assigned on May 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Joseph S Park?

Joseph S Park is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NY under license number X013693-01.

Where does Joseph S Park practice?

The practice location is 17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101. The office can be reached at 201-313-1212 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144919721 directly on the NPPES registry website.

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