Active NPIIndividual provider

Dr. Peter B Park, MD

Radiology, Vascular & Interventional Radiology in Old Bridge, New Jersey

NPI Number1487609723
Practice location
300 Perrine RD, Suite 301, Old Bridge, NJ 08857-3627
Fax
732-727-8345
Last updated
December 19, 2024

Peter B. Park is a Radiology, Vascular & Interventional Radiology based in Old Bridge, NJ. Peter B. Park practices in Old Bridge, NJ and has the professional credentials of MD. The NPI Number for Peter B. Park is 1487609723 and holds a License No. 25MA07085300 (NJ). The current practice location address for Peter B. Park is 300 Perrine RD, Suite 301, Old Bridge, NJ 08857-3627 and can be reached out via phone at 732-727-8346 and via fax at 732-727-8345.

Provider Profile Details

NPI Number
1487609723
Provider Name
Peter B. Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Perrine RD, Suite 301, Old Bridge, NJ 08857-3627
Phone Number
732-727-8346
Fax Number
732-727-8345
Sole Proprietor
No
Provider Enumeration Date
May 24, 2006
Last Update Date
December 19, 2024
Certification Date
December 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Perrine RD
Suite 301
Old Bridge, NJ 08857-3627
Zip
08857-3627
Phone Number
732-727-8346
Fax Number
732-727-8345
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
300 Perrine RD
Suite 301
Old Bridge, NJ 08857-3627
City
Old Bridge
State
NJ
Zip
08857-3627
Phone Number
732-727-8346
Fax Number
732-727-8345

License Information

License Number (1)
25MA07085300
License State (1)
NJ
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
25MA07085300
License State (2)
NJ
Taxonomy (2)
Radiology, Vascular & Interventional Radiology · 2085R0204X · 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 Dr. Peter B Park, MD?

The NPI number of Dr. Peter B Park, MD is 1487609723. It was assigned on May 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter B Park, MD?

Dr. Peter B Park, MD is registered under the primary taxonomy Radiology, Vascular & Interventional Radiology (code 2085R0204X), licensed in NJ under license number 25MA07085300.

Where does Dr. Peter B Park, MD practice?

The practice location is 300 Perrine RD, Suite 301, Old Bridge, NJ 08857-3627. The office can be reached at 732-727-8346 (phone) or 732-727-8345 (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 1487609723 directly on the NPPES registry website.

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