Active NPIIndividual provider

Hyunsoo Park, LAC

Acupuncturist in River Edge, New Jersey

NPI Number1730665142
Practice location
1060 Main St Ste 304, River Edge, NJ 07661-2592
Fax
—
Last updated
October 3, 2020

Hyunsoo Park is an Acupuncturist based in River Edge, NJ. Hyunsoo Park practices in River Edge, NJ and has the professional credentials of LAC. The NPI Number for Hyunsoo Park is 1730665142 and holds a License No. 25MZ00132300 (NJ). The current practice location address for Hyunsoo Park is 1060 Main St Ste 304, River Edge, NJ 07661-2592 and can be reached out via phone at 201-421-7733.

Provider Profile Details

NPI Number
1730665142
Provider Name
Hyunsoo Park
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
1060 Main St Ste 304, River Edge, NJ 07661-2592
Phone Number
201-421-7733
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Other Names
Eddie Park, LAC (Other Name)
Provider Enumeration Date
July 18, 2018
Last Update Date
October 3, 2020
Certification Date
October 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1060 Main St Ste 304
River Edge, NJ 07661-2592
Zip
07661-2592
Phone Number
201-421-7733
River Edge, NJ 07661Get directions →

Provider Business Mailing Address Details

Address
4 Maple St
Leonia, NJ 07605-2307
City
Leonia
State
NJ
Zip
07605-2307
Phone Number
201-421-7733

License Information

License Number
25MZ00132300
License State
NJ
Taxonomy
Acupuncturist · 171100000X · 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 Hyunsoo Park, LAC?

The NPI number of Hyunsoo Park, LAC is 1730665142. It was assigned on July 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Hyunsoo Park, LAC?

Hyunsoo Park, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00132300.

Where does Hyunsoo Park, LAC practice?

The practice location is 1060 Main St Ste 304, River Edge, NJ 07661-2592. The office can be reached at 201-421-7733 (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 1730665142 directly on the NPPES registry website.

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