Active NPIIndividual provider

Dr. Kenneth H Park, DO

Anesthesiology, Pain Medicine in Oradell, New Jersey

NPI Number1609881978
Practice location
680 Kinderkamack RD, Suite 207, Oradell, NJ 07649-1600
Fax
201-487-7246
Last updated
March 7, 2012

Kenneth H Park is an Anesthesiology, Pain Medicine based in Oradell, NJ. Kenneth H Park practices in Oradell, NJ and has the professional credentials of DO. The NPI Number for Kenneth H Park is 1609881978 and holds a License No. 25MB08263300 (NJ). The current practice location address for Kenneth H Park is 680 Kinderkamack RD, Suite 207, Oradell, NJ 07649-1600 and can be reached out via phone at 201-487-7246 and via fax at 201-487-7246.

Provider Profile Details

NPI Number
1609881978
Provider Name
Kenneth H Park
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
680 Kinderkamack RD, Suite 207, Oradell, NJ 07649-1600
Phone Number
201-487-7246
Fax Number
201-487-7246
Primary Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2006
Last Update Date
March 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Kinderkamack RD
Suite 207
Oradell, NJ 07649-1600
Zip
07649-1600
Phone Number
201-487-7246
Fax Number
201-487-7246
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
680 Kinderkamack RD
Suite 207
Oradell, NJ 07649-1600
City
Oradell
State
NJ
Zip
07649-1600
Phone Number
201-487-7246
Fax Number
201-225-0207

License Information

License Number
25MB08263300
License State
NJ
Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X · 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. Kenneth H Park, DO?

The NPI number of Dr. Kenneth H Park, DO is 1609881978. It was assigned on July 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth H Park, DO?

Dr. Kenneth H Park, DO is registered under the primary taxonomy Anesthesiology, Pain Medicine (code 207LP2900X), licensed in NJ under license number 25MB08263300.

Where does Dr. Kenneth H Park, DO practice?

The practice location is 680 Kinderkamack RD, Suite 207, Oradell, NJ 07649-1600. The office can be reached at 201-487-7246 (phone) or 201-487-7246 (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 1609881978 directly on the NPPES registry website.

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