Dr. Jennifer M Park
Dentist, General Practice in Palisades Park, New Jersey
1205318060- Practice location
- 261 Broad Ave, Palisades Park, NJ 07650-3004
- Phone
- 201-676-3003
- Fax
- —
- Last updated
- August 29, 2018
Jennifer Mijin Park is a Dentist, General Practice based in Palisades Park, NJ. Jennifer Mijin Park practices in Palisades Park, NJ. The NPI Number for Jennifer Mijin Park is 1205318060 and holds a License No. 22DI02726300 (NJ). The current practice location address for Jennifer Mijin Park is 261 Broad Ave, Palisades Park, NJ 07650-3004 and can be reached out via phone at 201-676-3003.
Provider Profile Details
- NPI Number
- 1205318060
- Provider Name
- Jennifer Mijin Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 261 Broad Ave, Palisades Park, NJ 07650-3004
- Phone Number
- 201-676-3003
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 29, 2018
- Last Update Date
- August 29, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 261 Broad Ave
Palisades Park, NJ 07650-3004 - City
- Palisades Park
- State
- New Jersey
- Zip
- 07650-3004
- Phone Number
- 201-676-3003
Provider Business Mailing Address Details
- Address
- 35A Edgewater Pl
Edgewater, NJ 07020-2245 - City
- Edgewater
- State
- NJ
- Zip
- 07020-2245
- Phone Number
- 818-428-7260
License Information
- License Number
- 22DI02726300
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Palisades Park, NJ
View all Dentist, General Practice providers in Palisades Park →- Dr. Eun-Jung Lee, DDSDentist, General Practice · NPI 1043376106
- Dr. Gyoung-Hoon Kim, DDSDentist, General Practice · NPI 1093963985
- Dr. Jinyoung S Jin, DDSDentist, General Practice · NPI 1164654877
- Dr. Kenneth K Chen, DMDDentist, General Practice · NPI 1972684686
- Dr. Michael Ostrofsky, DDSDentist, General Practice · NPI 1881739449
- Dr. Moonsae Lee, DDSDentist, General Practice · NPI 1760694020
Frequently Asked Questions
What is the NPI number of Dr. Jennifer M Park?
The NPI number of Dr. Jennifer M Park is 1205318060. It was assigned on August 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Jennifer M Park?
Dr. Jennifer M Park is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02726300.
Where does Dr. Jennifer M Park practice?
The practice location is 261 Broad Ave, Palisades Park, NJ 07650-3004. The office can be reached at 201-676-3003 (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 1205318060 directly on the NPPES registry website.