Jina Park, MD
Psychiatry & Neurology, Neurology in Ridgewood, New Jersey
1487003505- Practice location
- 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937
- Phone
- 201-444-0868
- Fax
- —
- Last updated
- February 17, 2022
Jina Park is a Psychiatry & Neurology, Neurology based in Ridgewood, NJ. Jina Park practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Jina Park is 1487003505 and holds a License No. 291837 (NY). The current practice location address for Jina Park is 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937 and can be reached out via phone at 201-444-0868.
Provider Profile Details
- NPI Number
- 1487003505
- Provider Name
- Jina Park
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937
- Phone Number
- 201-444-0868
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2016
- Last Update Date
- February 17, 2022
- Certification Date
- February 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 E Ridgewood Ave Ste 208
Ridgewood, NJ 07450-3937 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3937
- Phone Number
- 201-444-0868
Provider Business Mailing Address Details
- Address
- 1200 E Ridgewood Ave Ste 208
Ridgewood, NJ 07450-3937 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3937
- Phone Number
- 201-444-0868
License Information
- License Number (1)
- 291837
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (2)
- 25ma11105600
- License State (2)
- NJ
- Taxonomy (2)
- Psychiatry & Neurology, Neurology · 2084N0400X · 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 Jina Park, MD?
The NPI number of Jina Park, MD is 1487003505. It was assigned on June 9, 2016 and is currently active in the NPPES registry.
What is the specialty of Jina Park, MD?
Jina Park, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NY under license number 291837.
Where does Jina Park, MD practice?
The practice location is 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937. The office can be reached at 201-444-0868 (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 1487003505 directly on the NPPES registry website.