Dr. Chang S Park, MD
Internal Medicine in Fort Lee, New Jersey
1740629948- Practice location
- 200 Old Palisade RD Apt 1E, Fort Lee, NJ 07024-7057
- Phone
- 201-592-0619
- Fax
- —
- Last updated
- June 20, 2013
Chang S Park is an Internal Medicine based in Fort Lee, NJ. Chang S Park practices in Fort Lee, NJ and has the professional credentials of MD. The NPI Number for Chang S Park is 1740629948 and holds a License No. 173037-1 (NY). The current practice location address for Chang S Park is 200 Old Palisade RD Apt 1E, Fort Lee, NJ 07024-7057 and can be reached out via phone at 201-592-0619.
Provider Profile Details
- NPI Number
- 1740629948
- Provider Name
- Chang S Park
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Old Palisade RD Apt 1E, Fort Lee, NJ 07024-7057
- Phone Number
- 201-592-0619
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 20, 2013
- Last Update Date
- June 20, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Old Palisade RD Apt 1E
Fort Lee, NJ 07024-7057 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-7057
- Phone Number
- 201-592-0619
Provider Business Mailing Address Details
- Address
- 200 Old Palisade RD Apt 1E
Fort Lee, NJ 07024-7057 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-7057
- Phone Number
- 201-592-0619
License Information
- License Number (1)
- 173037-1
- License State (1)
- NY
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 25MA05299100
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Chang S Park, MD?
The NPI number of Dr. Chang S Park, MD is 1740629948. It was assigned on June 20, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Chang S Park, MD?
Dr. Chang S Park, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 173037-1.
Where does Dr. Chang S Park, MD practice?
The practice location is 200 Old Palisade RD Apt 1E, Fort Lee, NJ 07024-7057. The office can be reached at 201-592-0619 (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 1740629948 directly on the NPPES registry website.