Active NPIIndividual provider

Sae Yeon Park, APN

Nurse Practitioner, Adult Health in Englewood, New Jersey

NPI Number1588302749
Practice location
350 Engle St, Englewood, NJ 07631-1898
Fax
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Last updated
May 26, 2022

Sae Yeon Park is a Nurse Practitioner, Adult Health based in Englewood, NJ. Sae Yeon Park practices in Englewood, NJ and has the professional credentials of APN. The NPI Number for Sae Yeon Park is 1588302749 and holds a License No. 26NJ01313400 (NJ). The current practice location address for Sae Yeon Park is 350 Engle St, Englewood, NJ 07631-1898 and can be reached out via phone at 201-894-3000.

Provider Profile Details

NPI Number
1588302749
Provider Name
Sae Yeon Park
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
350 Engle St, Englewood, NJ 07631-1898
Phone Number
201-894-3000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
May 26, 2022
Last Update Date
May 26, 2022
Certification Date
May 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle St
Englewood, NJ 07631-1898
Zip
07631-1898
Phone Number
201-894-3000
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
223 Grantwood Blvd
Palisades Park, NJ 07650-1908
City
Palisades Park
State
NJ
Zip
07650-1908
Phone Number
201-961-4881

License Information

License Number
26NJ01313400
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Sae Yeon Park, APN?

The NPI number of Sae Yeon Park, APN is 1588302749. It was assigned on May 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Sae Yeon Park, APN?

Sae Yeon Park, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ01313400.

Where does Sae Yeon Park, APN practice?

The practice location is 350 Engle St, Englewood, NJ 07631-1898. The office can be reached at 201-894-3000 (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 1588302749 directly on the NPPES registry website.

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