Active NPIIndividual provider

Dr. Ieroo Park, DO

Hospitalist in Vineland, New Jersey

NPI Number1245927409
Practice location
1505 W Sherman Ave, Vineland, NJ 08360-7059
Fax
—
Last updated
July 9, 2026

Ieroo Park is a Hospitalist based in Vineland, NJ. Ieroo Park practices in Vineland, NJ and has the professional credentials of DO. The NPI Number for Ieroo Park is 1245927409 and holds a License No. 25MB13172300 (NJ). The current practice location address for Ieroo Park is 1505 W Sherman Ave, Vineland, NJ 08360-7059 and can be reached out via phone at 201-835-3463.

Provider Profile Details

NPI Number
1245927409
Provider Name
Ieroo Park
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1505 W Sherman Ave, Vineland, NJ 08360-7059
Phone Number
201-835-3463
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2023
Last Update Date
July 9, 2026
Certification Date
July 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1505 W Sherman Ave
Vineland, NJ 08360-7059
Zip
08360-7059
Phone Number
201-835-3463
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1 Federal St Ste 200
Camden, NJ 08103-1088
City
Camden
State
NJ
Zip
08103-1088
Phone Number
848-288-6935

License Information

License Number (1)
25MB13172300
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MB13172300
License State (2)
NJ
Taxonomy (2)
Hospitalist · 208M00000X · 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 Dr. Ieroo Park, DO?

The NPI number of Dr. Ieroo Park, DO is 1245927409. It was assigned on April 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Ieroo Park, DO?

Dr. Ieroo Park, DO is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in NJ under license number 25MB13172300.

Where does Dr. Ieroo Park, DO practice?

The practice location is 1505 W Sherman Ave, Vineland, NJ 08360-7059. The office can be reached at 201-835-3463 (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 1245927409 directly on the NPPES registry website.

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