Seongae Park
Nurse Practitioner, Acute Care in Jersey City, New Jersey
1528273075- Practice location
- 1825 Kennedy Boulevard, Jersey City, NJ 07305
- Phone
- 201-547-6100
- Fax
- —
- Last updated
- November 24, 2009
Seongae Park is a Nurse Practitioner, Acute Care based in Jersey City, NJ. Seongae Park practices in Jersey City, NJ. The NPI Number for Seongae Park is 1528273075 and holds a License No. 26NJ00112200 (NJ). The current practice location address for Seongae Park is 1825 Kennedy Boulevard, Jersey City, NJ 07305 and can be reached out via phone at 201-547-6100.
Provider Profile Details
- NPI Number
- 1528273075
- Provider Name
- Seongae Park
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1825 Kennedy Boulevard, Jersey City, NJ 07305
- Phone Number
- 201-547-6100
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 10, 2007
- Last Update Date
- November 24, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1825 Kennedy Boulevard
Jersey City, NJ 07305 - City
- Jersey City
- State
- New Jersey
- Zip
- 07305
- Phone Number
- 201-547-6100
Provider Business Mailing Address Details
- Address
- 1491 Carlisle RD
North Brunswick, NJ 08902-1465 - City
- North Brunswick
- State
- NJ
- Zip
- 08902-1465
License Information
- License Number
- 26NJ00112200
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X · 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 Seongae Park?
The NPI number of Seongae Park is 1528273075. It was assigned on May 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Seongae Park?
Seongae Park is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in NJ under license number 26NJ00112200.
Where does Seongae Park practice?
The practice location is 1825 Kennedy Boulevard, Jersey City, NJ 07305. The office can be reached at 201-547-6100 (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 1528273075 directly on the NPPES registry website.