Active NPIIndividual provider

Lillyanne Park, RD

Dietitian, Registered in Upper Saddle River, New Jersey

NPI Number1972461168
Practice location
39 Dogwood Hill RD, Upper Saddle River, NJ 07458-2206
Fax
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Last updated
January 14, 2026

Lillyanne Park is a Dietitian, Registered based in Upper Saddle River, NJ. Lillyanne Park practices in Upper Saddle River, NJ and has the professional credentials of RD. The NPI Number for Lillyanne Park is 1972461168 and holds a License No. 3663 (KS). The current practice location address for Lillyanne Park is 39 Dogwood Hill RD, Upper Saddle River, NJ 07458-2206 and can be reached out via phone at 973-223-8155.

Provider Profile Details

NPI Number
1972461168
Provider Name
Lillyanne Park
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
39 Dogwood Hill RD, Upper Saddle River, NJ 07458-2206
Phone Number
973-223-8155
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
January 14, 2026
Last Update Date
January 14, 2026
Certification Date
January 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Dogwood Hill RD
Upper Saddle River, NJ 07458-2206
Zip
07458-2206
Phone Number
973-223-8155
Upper Saddle River, NJ 07458Get directions →

Provider Business Mailing Address Details

Address
39 Dogwood Hill RD
Upper Saddle River, NJ 07458-2206
City
Upper Saddle River
State
NJ
Zip
07458-2206
Phone Number
973-223-8155

License Information

License Number
3663
License State
KS
Taxonomy
Dietitian, Registered · 133V00000X · 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 Lillyanne Park, RD?

The NPI number of Lillyanne Park, RD is 1972461168. It was assigned on January 14, 2026 and is currently active in the NPPES registry.

What is the specialty of Lillyanne Park, RD?

Lillyanne Park, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in KS under license number 3663.

Where does Lillyanne Park, RD practice?

The practice location is 39 Dogwood Hill RD, Upper Saddle River, NJ 07458-2206. The office can be reached at 973-223-8155 (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 1972461168 directly on the NPPES registry website.

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