Ms. Myoung A Park, NP
Nurse Practitioner, Gerontology in Bayonne, New Jersey
1396188215- Practice location
- 988 Broadway, Bayonne, NJ 07002-4036
- Phone
- 201-339-6111
- Fax
- 201-339-6333
- Last updated
- May 3, 2024
Myoung Ae Park is a Nurse Practitioner, Gerontology based in Bayonne, NJ. Myoung Ae Park practices in Bayonne, NJ and has the professional credentials of NP. The NPI Number for Myoung Ae Park is 1396188215 and holds a License No. 26NJ00428200 (NJ). The current practice location address for Myoung Ae Park is 988 Broadway, Bayonne, NJ 07002-4036 and can be reached out via phone at 201-339-6111 and via fax at 201-339-6333.
Provider Profile Details
- NPI Number
- 1396188215
- Provider Name
- Myoung Ae Park
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 988 Broadway, Bayonne, NJ 07002-4036
- Phone Number
- 201-339-6111
- Fax Number
- 201-339-6333
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 10, 2013
- Last Update Date
- May 3, 2024
- Certification Date
- May 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 988 Broadway
Bayonne, NJ 07002-4036 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-4036
- Phone Number
- 201-339-6111
- Fax Number
- 201-339-6333
Provider Business Mailing Address Details
- Address
- 988 Broadway
Bayonne, NJ 07002-4036 - City
- Bayonne
- State
- NJ
- Zip
- 07002-4036
- Phone Number
- 201-339-6111
- Fax Number
- 201-339-6333
License Information
- License Number
- 26NJ00428200
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Bayonne, NJ
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Frequently Asked Questions
What is the NPI number of Ms. Myoung A Park, NP?
The NPI number of Ms. Myoung A Park, NP is 1396188215. It was assigned on April 10, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Myoung A Park, NP?
Ms. Myoung A Park, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ00428200.
Where does Ms. Myoung A Park, NP practice?
The practice location is 988 Broadway, Bayonne, NJ 07002-4036. The office can be reached at 201-339-6111 (phone) or 201-339-6333 (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 1396188215 directly on the NPPES registry website.