Ju Young Park
Registered Nurse in Old Tappan, New Jersey
1164297396- Practice location
- 2 Candlewood Dr, Old Tappan, NJ 07675-7055
- Phone
- 646-678-1419
- Fax
- —
- Last updated
- November 17, 2023
Ju Young Park is a Registered Nurse based in Old Tappan, NJ. Ju Young Park practices in Old Tappan, NJ. The NPI Number for Ju Young Park is 1164297396 and holds a License No. 654389 (NY). The current practice location address for Ju Young Park is 2 Candlewood Dr, Old Tappan, NJ 07675-7055 and can be reached out via phone at 646-678-1419.
Provider Profile Details
- NPI Number
- 1164297396
- Provider Name
- Ju Young Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Candlewood Dr, Old Tappan, NJ 07675-7055
- Phone Number
- 646-678-1419
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 17, 2023
- Last Update Date
- November 17, 2023
- Certification Date
- November 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Candlewood Dr
Old Tappan, NJ 07675-7055 - City
- Old Tappan
- State
- New Jersey
- Zip
- 07675-7055
- Phone Number
- 646-678-1419
Provider Business Mailing Address Details
- Address
- 2 Candlewood Dr
Old Tappan, NJ 07675-7055 - City
- Old Tappan
- State
- NJ
- Zip
- 07675-7055
- Phone Number
- 646-678-1419
License Information
- License Number
- 654389
- License State
- NY
- Taxonomy
- Registered Nurse · 163W00000X · 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 Ju Young Park?
The NPI number of Ju Young Park is 1164297396. It was assigned on November 17, 2023 and is currently active in the NPPES registry.
What is the specialty of Ju Young Park?
Ju Young Park is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 654389.
Where does Ju Young Park practice?
The practice location is 2 Candlewood Dr, Old Tappan, NJ 07675-7055. The office can be reached at 646-678-1419 (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 1164297396 directly on the NPPES registry website.