Dr. Madeline N Park, DDS
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
1518456672- Practice location
- 30 Prospect Ave, Hackensack, NJ 07601-1915
- Phone
- 551-996-5593
- Fax
- —
- Last updated
- January 31, 2019
Madeline Nahjin Park is a Student in an Organized Health Care Education/Training Program based in Hackensack, NJ. Madeline Nahjin Park practices in Hackensack, NJ and has the professional credentials of DDS. The NPI Number for Madeline Nahjin Park is 1518456672 and holds a License No. 22DI02740700 (NJ). The current practice location address for Madeline Nahjin Park is 30 Prospect Ave, Hackensack, NJ 07601-1915 and can be reached out via phone at 551-996-5593.
Provider Profile Details
- NPI Number
- 1518456672
- Provider Name
- Madeline Nahjin Park
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Prospect Ave, Hackensack, NJ 07601-1915
- Phone Number
- 551-996-5593
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 4, 2018
- Last Update Date
- January 31, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1915
- Phone Number
- 551-996-5593
Provider Business Mailing Address Details
- Address
- 130 Overlook Ave Apt 4E
Hackensack, NJ 07601-2234 - City
- Hackensack
- State
- NJ
- Zip
- 07601-2234
- Phone Number
- 201-394-4530
License Information
- License Number (1)
- 22DI02740700
- License State (1)
- NJ
- Taxonomy (1)
- Dentist · 122300000X
- License State (2)
- NJ
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · 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. Madeline N Park, DDS?
The NPI number of Dr. Madeline N Park, DDS is 1518456672. It was assigned on May 4, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Madeline N Park, DDS?
Dr. Madeline N Park, DDS is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NJ under license number 22DI02740700.
Where does Dr. Madeline N Park, DDS practice?
The practice location is 30 Prospect Ave, Hackensack, NJ 07601-1915. The office can be reached at 551-996-5593 (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 1518456672 directly on the NPPES registry website.