Dr. Chong H Park, MD, FRCS(US)
Pain Medicine, Interventional Pain Medicine in Montclair, New Jersey
1457417180- Practice location
- 775 Bloomfield Ave, Montclair, NJ 07042-1880
- Phone
- 973-509-3401
- Fax
- 973-655-1560
- Last updated
- March 29, 2013
Chong H Park is a Pain Medicine, Interventional Pain Medicine based in Montclair, NJ. Chong H Park practices in Montclair, NJ and has the professional credentials of MD, FRCS(US). The NPI Number for Chong H Park is 1457417180 and holds a License No. 25MA04390700 (NJ). The current practice location address for Chong H Park is 775 Bloomfield Ave, Montclair, NJ 07042-1880 and can be reached out via phone at 973-509-3401 and via fax at 973-655-1560.
Provider Profile Details
- NPI Number
- 1457417180
- Provider Name
- Chong H Park
- Credential
- MD, FRCS(US)
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 775 Bloomfield Ave, Montclair, NJ 07042-1880
- Phone Number
- 973-509-3401
- Fax Number
- 973-655-1560
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 28, 2006
- Last Update Date
- March 29, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 775 Bloomfield Ave
Montclair, NJ 07042-1880 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-1880
- Phone Number
- 973-509-3401
- Fax Number
- 973-655-1560
Provider Business Mailing Address Details
- Address
- 775 Bloomfield Ave
Montclair, NJ 07042-1880 - City
- Montclair
- State
- NJ
- Zip
- 07042-1880
- Phone Number
- 973-509-3401
- Fax Number
- 973-655-1560
License Information
- License Number (1)
- 25MA04390700
- License State (1)
- NJ
- Taxonomy (1)
- Anesthesiology, Pain Medicine · 207LP2900X
- License Number (2)
- 25MA04390700
- License State (2)
- NJ
- Taxonomy (2)
- Pain Medicine, Interventional Pain Medicine · 208VP0014X · 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 Dr. Chong H Park, MD, FRCS(US)?
The NPI number of Dr. Chong H Park, MD, FRCS(US) is 1457417180. It was assigned on December 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Chong H Park, MD, FRCS(US)?
Dr. Chong H Park, MD, FRCS(US) is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in NJ under license number 25MA04390700.
Where does Dr. Chong H Park, MD, FRCS(US) practice?
The practice location is 775 Bloomfield Ave, Montclair, NJ 07042-1880. The office can be reached at 973-509-3401 (phone) or 973-655-1560 (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 1457417180 directly on the NPPES registry website.