Active NPIIndividual provider

Yong M Park, MD

Specialist in East Orange, New Jersey

NPI Number1356345722
Practice location
300 Central Ave, East Orange, NJ 07018-2819
Fax
—
Last updated
December 26, 2012

Yong Moo Park is a Specialist based in East Orange, NJ. Yong Moo Park practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Yong Moo Park is 1356345722 and holds a License No. MA 26048 (NJ). The current practice location address for Yong Moo Park is 300 Central Ave, East Orange, NJ 07018-2819 and can be reached out via phone at 973-672-8400.

Provider Profile Details

NPI Number
1356345722
Provider Name
Yong Moo Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Central Ave, East Orange, NJ 07018-2819
Phone Number
973-672-8400
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2005
Last Update Date
December 26, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Central Ave
East Orange, NJ 07018-2819
Zip
07018-2819
Phone Number
973-672-8400
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
Po Box 827944
Philadelphia, PA 19182-7944
City
Philadelphia
State
PA
Zip
19182-7944
Phone Number
201-804-2800

License Information

License Number
MA 26048
License State
NJ
Taxonomy
Specialist · 174400000X · 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 Yong M Park, MD?

The NPI number of Yong M Park, MD is 1356345722. It was assigned on June 13, 2005 and is currently active in the NPPES registry.

What is the specialty of Yong M Park, MD?

Yong M Park, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA 26048.

Where does Yong M Park, MD practice?

The practice location is 300 Central Ave, East Orange, NJ 07018-2819. The office can be reached at 973-672-8400 (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 1356345722 directly on the NPPES registry website.

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