Active NPIIndividual provider

Dr. Jin S Park, MD

Internal Medicine, Nephrology in Brick, New Jersey

NPI Number1902842057
Practice location
210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771
Fax
732-458-4962
Last updated
October 2, 2014

Jin S. Park is an Internal Medicine, Nephrology based in Brick, NJ. Jin S. Park practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Jin S. Park is 1902842057 and holds a License No. 34848 (NJ). The current practice location address for Jin S. Park is 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771 and can be reached out via phone at 732-458-5067 and via fax at 732-458-4962.

Provider Profile Details

NPI Number
1902842057
Provider Name
Jin S. Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771
Phone Number
732-458-5067
Fax Number
732-458-4962
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
June 20, 2006
Last Update Date
October 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Jack Martin Blvd
Suite D-1
Brick, NJ 08724-7771
City
Brick
Zip
08724-7771
Phone Number
732-458-5067
Fax Number
732-458-4962
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
210 Jack Martin Blvd
Suite D-1
Brick, NJ 08724-7771
City
Brick
State
NJ
Zip
08724-7771
Phone Number
732-458-5067
Fax Number
732-458-4962

License Information

License Number
34848
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · 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. Jin S Park, MD?

The NPI number of Dr. Jin S Park, MD is 1902842057. It was assigned on June 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jin S Park, MD?

Dr. Jin S Park, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number 34848.

Where does Dr. Jin S Park, MD practice?

The practice location is 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771. The office can be reached at 732-458-5067 (phone) or 732-458-4962 (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 1902842057 directly on the NPPES registry website.

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