Active NPIIndividual provider

Krystal Park, MD

Internal Medicine in Plainsboro, New Jersey

NPI Number1912468661
Practice location
1 Plainsboro RD, Plainsboro, NJ 08536-1913
Fax
609-853-7221
Last updated
April 11, 2025

Krystal Park is an Internal Medicine based in Plainsboro, NJ. Krystal Park practices in Plainsboro, NJ and has the professional credentials of MD. The NPI Number for Krystal Park is 1912468661 and holds a License No. 25MA12284300 (NJ). The current practice location address for Krystal Park is 1 Plainsboro RD, Plainsboro, NJ 08536-1913 and can be reached out via phone at 609-853-6049 and via fax at 609-853-7221.

Provider Profile Details

NPI Number
1912468661
Provider Name
Krystal Park
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Plainsboro RD, Plainsboro, NJ 08536-1913
Phone Number
609-853-6049
Fax Number
609-853-7221
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2019
Last Update Date
April 11, 2025
Certification Date
April 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Plainsboro RD
Plainsboro, NJ 08536-1913
Zip
08536-1913
Phone Number
609-853-6049
Fax Number
609-853-7221
Plainsboro, NJ 08536Get directions →

Provider Business Mailing Address Details

Address
1 Plainsboro RD
Plainsboro, NJ 08536-1913
City
Plainsboro
State
NJ
Zip
08536-1913
Phone Number
908-601-3407

License Information

License Number (1)
25MA12284300
License State (1)
NJ
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
25MA12284300
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · 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 Krystal Park, MD?

The NPI number of Krystal Park, MD is 1912468661. It was assigned on March 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Krystal Park, MD?

Krystal Park, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA12284300.

Where does Krystal Park, MD practice?

The practice location is 1 Plainsboro RD, Plainsboro, NJ 08536-1913. The office can be reached at 609-853-6049 (phone) or 609-853-7221 (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 1912468661 directly on the NPPES registry website.

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