Ms. Sandra S Park
Acupuncturist in Little Ferry, New Jersey
1285984120- Practice location
- 103 Waterside Dr, Little Ferry, NJ 07643-2208
- Phone
- 201-741-7578
- Fax
- —
- Last updated
- December 21, 2021
Sandra Sungju Park is an Acupuncturist based in Little Ferry, NJ. Sandra Sungju Park practices in Little Ferry, NJ. The NPI Number for Sandra Sungju Park is 1285984120 and holds a License No. 18KT00277700 (NJ). The current practice location address for Sandra Sungju Park is 103 Waterside Dr, Little Ferry, NJ 07643-2208 and can be reached out via phone at 201-741-7578.
Provider Profile Details
- NPI Number
- 1285984120
- Provider Name
- Sandra Sungju Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 103 Waterside Dr, Little Ferry, NJ 07643-2208
- Phone Number
- 201-741-7578
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 18, 2012
- Last Update Date
- December 21, 2021
- Certification Date
- December 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Waterside Dr
Little Ferry, NJ 07643-2208 - City
- Little Ferry
- State
- New Jersey
- Zip
- 07643-2208
- Phone Number
- 201-741-7578
Provider Business Mailing Address Details
- Address
- 103 Waterside Dr
Little Ferry, NJ 07643-2208 - City
- Little Ferry
- State
- NJ
- Zip
- 07643-2208
- Phone Number
- 201-741-7578
License Information
- License Number (1)
- 18KT00277700
- License State (1)
- NJ
- Taxonomy (1)
- Massage Therapist · 225700000X
- License Number (2)
- 25MZ00092100
- License State (2)
- NJ
- Taxonomy (2)
- Acupuncturist · 171100000X · 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 Ms. Sandra S Park?
The NPI number of Ms. Sandra S Park is 1285984120. It was assigned on September 18, 2012 and is currently active in the NPPES registry.
What is the specialty of Ms. Sandra S Park?
Ms. Sandra S Park is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 18KT00277700.
Where does Ms. Sandra S Park practice?
The practice location is 103 Waterside Dr, Little Ferry, NJ 07643-2208. The office can be reached at 201-741-7578 (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 1285984120 directly on the NPPES registry website.