Active NPIIndividual providerSole proprietor

Dr. Wonil Park, MD

Internal Medicine in Ridgefield, New Jersey

NPI Number1588753842
Practice location
784 Grand Ave Ste 201, Ridgefield, NJ 07657-1043
Fax
201-346-0118
Last updated
February 23, 2020

Wonil Park is an Internal Medicine based in Ridgefield, NJ. Wonil Park practices in Ridgefield, NJ and has the professional credentials of MD. The NPI Number for Wonil Park is 1588753842 and holds a License No. MA58515 (NJ). The current practice location address for Wonil Park is 784 Grand Ave Ste 201, Ridgefield, NJ 07657-1043 and can be reached out via phone at 201-346-0999 and via fax at 201-346-0118.

Provider Profile Details

NPI Number
1588753842
Provider Name
Wonil Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
784 Grand Ave Ste 201, Ridgefield, NJ 07657-1043
Phone Number
201-346-0999
Fax Number
201-346-0118
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 12, 2006
Last Update Date
February 23, 2020
Certification Date
February 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
784 Grand Ave Ste 201
Ridgefield, NJ 07657-1043
Zip
07657-1043
Phone Number
201-346-0999
Fax Number
201-346-0118
Ridgefield, NJ 07657Get directions →

Provider Business Mailing Address Details

Address
784 Grand Ave Ste 201
Ridgefield, NJ 07657-1043
City
Ridgefield
State
NJ
Zip
07657-1043
Phone Number
201-346-0999
Fax Number
201-346-0118

License Information

License Number (1)
MA58515
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Nephrology · 207RN0300X
License Number (2)
MA58515
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · 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. Wonil Park, MD?

The NPI number of Dr. Wonil Park, MD is 1588753842. It was assigned on October 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Wonil Park, MD?

Dr. Wonil Park, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA58515.

Where does Dr. Wonil Park, MD practice?

The practice location is 784 Grand Ave Ste 201, Ridgefield, NJ 07657-1043. The office can be reached at 201-346-0999 (phone) or 201-346-0118 (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 1588753842 directly on the NPPES registry website.

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