Active NPIIndividual providerSole proprietor

Jay E Park

Counselor, Mental Health in Fort Lee, New Jersey

NPI Number1902561244
Practice location
2460 Lemoine Ave Ste 400B, Fort Lee, NJ 07024-6210
Fax
—
Last updated
November 4, 2026

Jay Eun Park is a Counselor, Mental Health based in Fort Lee, NJ. Jay Eun Park practices in Fort Lee, NJ. The NPI Number for Jay Eun Park is 1902561244 and holds a License No. 37AC00903700 (NJ). The current practice location address for Jay Eun Park is 2460 Lemoine Ave Ste 400B, Fort Lee, NJ 07024-6210 and can be reached out via phone at 718-650-0504.

Provider Profile Details

NPI Number
1902561244
Provider Name
Jay Eun Park
Provider Entity Type
Individual
Gender
Female
Address
2460 Lemoine Ave Ste 400B, Fort Lee, NJ 07024-6210
Phone Number
718-650-0504
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
Ashley Park (Other Name)
Provider Enumeration Date
November 2, 2021
Last Update Date
November 4, 2026
Certification Date
November 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2460 Lemoine Ave Ste 400B
Fort Lee, NJ 07024-6210
Zip
07024-6210
Phone Number
718-650-0504
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2460 Lemoine Ave Ste 400B
Fort Lee, NJ 07024-6210
City
Fort Lee
State
NJ
Zip
07024-6210
Phone Number
718-650-0504

License Information

License Number
37AC00903700
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Jay E Park?

The NPI number of Jay E Park is 1902561244. It was assigned on November 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Jay E Park?

Jay E Park is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00903700.

Where does Jay E Park practice?

The practice location is 2460 Lemoine Ave Ste 400B, Fort Lee, NJ 07024-6210. The office can be reached at 718-650-0504 (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 1902561244 directly on the NPPES registry website.

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