- Practice location
- 8900 Van Wyck Expy, Jamaica, NY 11418-2832
- Phone
- 201-741-7197
- Fax
- —
- Last updated
- May 21, 2021
Stella Park is a Student in an Organized Health Care Education/Training Program based in Jamaica, NY. Stella Park practices in Jamaica, NY and has the professional credentials of DDS. The NPI Number for Stella Park is 1164006730 and holds a License No. 390200000X. The current practice location address for Stella Park is 8900 Van Wyck Expy, Jamaica, NY 11418-2832 and can be reached out via phone at 201-741-7197.
Provider Profile Details
- NPI Number
- 1164006730
- Provider Name
- Stella Park
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8900 Van Wyck Expy, Jamaica, NY 11418-2832
- Phone Number
- 201-741-7197
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 10, 2021
- Last Update Date
- May 21, 2021
- Certification Date
- May 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8900 Van Wyck Expy
Jamaica, NY 11418-2832 - City
- Jamaica
- State
- New York
- Zip
- 11418-2832
- Phone Number
- 201-741-7197
Provider Business Mailing Address Details
- Address
- 8900 Van Wyck Expy
Jamaica, NY 11418-2832 - City
- Jamaica
- State
- NY
- Zip
- 11418-2832
- Phone Number
- 201-741-7197
License Information
- License Number
- 390200000X
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Stella Park, DDS?
The NPI number of Dr. Stella Park, DDS is 1164006730. It was assigned on May 10, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Stella Park, DDS?
Dr. Stella Park, DDS is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed under license number 390200000X.
Where does Dr. Stella Park, DDS practice?
The practice location is 8900 Van Wyck Expy, Jamaica, NY 11418-2832. The office can be reached at 201-741-7197 (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 1164006730 directly on the NPPES registry website.