Shane Park, MS, RD
Dietitian, Registered in Kinnelon, New Jersey
1528639283- Practice location
- 27 Forestdale RD, Kinnelon, NJ 07405-2558
- Phone
- 973-879-6811
- Fax
- —
- Last updated
- July 5, 2021
Shane Park is a Dietitian, Registered based in Kinnelon, NJ. Shane Park practices in Kinnelon, NJ and has the professional credentials of MS, RD. The NPI Number for Shane Park is 1528639283. The current practice location address for Shane Park is 27 Forestdale RD, Kinnelon, NJ 07405-2558 and can be reached out via phone at 973-879-6811.
Provider Profile Details
- NPI Number
- 1528639283
- Provider Name
- Shane Park
- Credential
- MS, RD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 27 Forestdale RD, Kinnelon, NJ 07405-2558
- Phone Number
- 973-879-6811
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2021
- Last Update Date
- July 5, 2021
- Certification Date
- July 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 Forestdale RD
Kinnelon, NJ 07405-2558 - City
- Kinnelon
- State
- New Jersey
- Zip
- 07405-2558
- Phone Number
- 973-879-6811
Provider Business Mailing Address Details
- Address
- 27 Forestdale RD
Kinnelon, NJ 07405-2558 - City
- Kinnelon
- State
- NJ
- Zip
- 07405-2558
License Information
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Kinnelon, NJ
View all Dietitian, Registered providers in Kinnelon →- Kristin Beraitis, RDDietitian, Registered · NPI 1881319069
- Mrs. Dana A Jacko, RDDietitian, Registered · NPI 1760510200
- Purnima ShivaramDietitian, Registered · NPI 1730755786
- Abound Health Nj LLC Tempo Management LLCHome Health · NPI 1205251170
- Bhoomi M PatelNurse Practitioner, Acute Care · NPI 1720982622
- Dr. Matthew Silverstein, DMDDentist, Periodontics · NPI 1487918512
Frequently Asked Questions
What is the NPI number of Shane Park, MS, RD?
The NPI number of Shane Park, MS, RD is 1528639283. It was assigned on July 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Shane Park, MS, RD?
Shane Park, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Shane Park, MS, RD practice?
The practice location is 27 Forestdale RD, Kinnelon, NJ 07405-2558. The office can be reached at 973-879-6811 (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 1528639283 directly on the NPPES registry website.