Active NPIIndividual providerSole proprietor

Dr. Ducksoon Park, DC

Chiropractor in Englewood Cliffs, New Jersey

NPI Number1477755163
Practice location
464 Hudson Terr., Suite 204, Englewood Cliffs, NJ 07632-2514
Fax
—
Last updated
January 13, 2014

Ducksoon Park is a Chiropractor based in Englewood Cliffs, NJ. Ducksoon Park practices in Englewood Cliffs, NJ and has the professional credentials of DC. The NPI Number for Ducksoon Park is 1477755163 and holds a License No. MC05041 (NJ). The current practice location address for Ducksoon Park is 464 Hudson Terr., Suite 204, Englewood Cliffs, NJ 07632-2514 and can be reached out via phone at 201-956-4146.

Provider Profile Details

NPI Number
1477755163
Provider Name
Ducksoon Park
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
464 Hudson Terr., Suite 204, Englewood Cliffs, NJ 07632-2514
Phone Number
201-956-4146
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2007
Last Update Date
January 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
464 Hudson Terr.
Suite 204
Englewood Cliffs, NJ 07632-2514
Zip
07632-2514
Phone Number
201-956-4146
Englewood Cliffs, NJ 07632Get directions →

Provider Business Mailing Address Details

Address
464 Hudson Ter
Suite 204
Englewood Cliffs, NJ 07632-2902
City
Englewood Cliffs
State
NJ
Zip
07632-2902
Phone Number
201-956-4146

License Information

License Number (1)
MC05041
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X · Primary
License Number (2)
X008533
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X

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 Dr. Ducksoon Park, DC?

The NPI number of Dr. Ducksoon Park, DC is 1477755163. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ducksoon Park, DC?

Dr. Ducksoon Park, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number MC05041.

Where does Dr. Ducksoon Park, DC practice?

The practice location is 464 Hudson Terr., Suite 204, Englewood Cliffs, NJ 07632-2514. The office can be reached at 201-956-4146 (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 1477755163 directly on the NPPES registry website.

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