Active NPIIndividual providerSole proprietor

Byong K Park, MD

Internal Medicine in Lyndhurst, New Jersey

NPI Number1235104506
Practice location
612 Rutherford Ave, Lyndhurst, NJ 07071-1217
Fax
201-460-1684
Last updated
September 12, 2013

Byong K. Park is an Internal Medicine based in Lyndhurst, NJ. Byong K. Park practices in Lyndhurst, NJ and has the professional credentials of MD. The NPI Number for Byong K. Park is 1235104506 and holds a License No. MA45940 (NJ). The current practice location address for Byong K. Park is 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 and can be reached out via phone at 201-460-0063 and via fax at 201-460-1684.

Provider Profile Details

NPI Number
1235104506
Provider Name
Byong K. Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
612 Rutherford Ave, Lyndhurst, NJ 07071-1217
Phone Number
201-460-0063
Fax Number
201-460-1684
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2006
Last Update Date
September 12, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
612 Rutherford Ave
Lyndhurst, NJ 07071-1217
Zip
07071-1217
Phone Number
201-460-0063
Fax Number
201-460-1684
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
612 Rutherford Ave
Lyndhurst, NJ 07071-1217
City
Lyndhurst
State
NJ
Zip
07071-1217
Phone Number
201-460-0063
Fax Number
201-460-1684

License Information

License Number
MA45940
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Byong K Park, MD?

The NPI number of Byong K Park, MD is 1235104506. It was assigned on February 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Byong K Park, MD?

Byong K Park, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA45940.

Where does Byong K Park, MD practice?

The practice location is 612 Rutherford Ave, Lyndhurst, NJ 07071-1217. The office can be reached at 201-460-0063 (phone) or 201-460-1684 (fax).

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 1235104506 directly on the NPPES registry website.

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