- Practice location
- 50 Park Ave, Paterson, NJ 07501-2207
- Phone
- 973-278-9800
- Fax
- 973-278-0070
- Last updated
- April 13, 2010
Park Medico Center is a healthcare organization based in Paterson, NJ. Park Medico Center practices in Paterson, NJ. The NPI Number for Park Medico Center is 1326364589 and holds a License No. 25MA038183100 (NJ). The current practice location address for Park Medico Center is 50 Park Ave, Paterson, NJ 07501-2207 and can be reached out via phone at 973-278-9800 and via fax at 973-278-0070.
Provider Profile Details
- NPI Number
- 1326364589
- Provider Name
- Park Medico Center
- Provider Entity Type
- Organization
- Address
- 50 Park Ave, Paterson, NJ 07501-2207
- Phone Number
- 973-278-9800
- Fax Number
- 973-278-0070
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Yong Ho Shin, MD · President · 973-278-9800
- Other Names
- None (Doing Business As)
- Provider Enumeration Date
- April 13, 2010
- Last Update Date
- April 13, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Park Ave
Paterson, NJ 07501-2207 - City
- Paterson
- State
- New Jersey
- Zip
- 07501-2207
- Phone Number
- 973-278-9800
- Fax Number
- 973-278-0070
Provider Business Mailing Address Details
- Address
- 50 Park Ave
Paterson, NJ 07501-2207 - City
- Paterson
- State
- NJ
- Zip
- 07501-2207
- Phone Number
- 973-278-9800
- Fax Number
- 973-278-0070
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- License Number (2)
- 25MA038183100
- License State (2)
- NJ
- Taxonomy (2)
- Clinic/Center · 261Q00000X
- License Number (3)
- 25MA03183100
- License State (3)
- NJ
- Taxonomy (3)
- Clinic/Center · 261Q00000X · 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 Park Medico Center?
The NPI number of Park Medico Center is 1326364589. It was assigned on April 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Park Medico Center?
Park Medico Center is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 25MA038183100.
Where does Park Medico Center practice?
The practice location is 50 Park Ave, Paterson, NJ 07501-2207. The office can be reached at 973-278-9800 (phone) or 973-278-0070 (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 1326364589 directly on the NPPES registry website.