JANE PARK (NPI# 1104323047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104323047 |
| Entity Type | Individual |
| Full Name | JANE PARK |
| Credential | MD |
| Practice Address |
7600 River Rd North Bergen NJ 07047-6217 |
| Mailing Address |
94-372 Hene St Waipahu HI 96797-1301 |
| Practice Telephone | 2018545000 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974122 | Jane Gerke Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-07 |
| 1790267722 | Jane Chung Park | Marriage & Family Therapist | 3727 W 6th St Ste 320, Los Angeles, CA 90020-5108 | 2018-09-06 |
| 1447741368 | Jane Park | Student in an Organized Health Care Education/Training Program | 376 Seguine Ave, Staten Island, NY 10309-3942 | 2018-05-25 |
| 1528448131 | Jane Park | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2015-06-09 |
| 1194125757 | Jane Park | Pharmacist | 1739 S Victoria Ave, Ventura, CA 93003-6503 | 2014-09-01 |
| 1700211893 | Jane S Park | Pharmacist | 35 Kensico Rd, Walgreens, Thornwood, NY 10594-1143 | 2013-09-07 |
| 1447699327 | Jane Haejin Park | Marriage & Family Therapist | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2013-06-24 |
| 1790129898 | Jane J Park | Internal Medicine | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2013-04-19 |
| 1134461411 | Jane Park | Student in an Organized Health Care Education/Training Program | 2351 Clay St, Suite 380, San Francisco, CA 94115-1931 | 2013-03-25 |
| 1861622433 | Jane Park | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2009-07-17 |
| Street Address |
7600 RIVER RD |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994338 | Palisades General Care Inc | Skilled Nursing Facility | 7600 River Rd, North Bergen, NJ 07047-6217 | 2005-06-30 |
| 1538778337 | Alexandria Lee Decena Ang | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-07-28 |
| 1619595659 | Dr Dina Ibrahim Foot & Ankle Surgery LLC | Podiatrist | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-07-07 |
| 1114555216 | Neenu Antony | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-04-01 |
| 1801424098 | Elizabeth Aziz | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-04-01 |
| 1659909414 | Ahmad Izzat Al-awwa | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-29 |
| 1043847056 | Vinh Ngoc Pham | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-27 |
| 1619504859 | Jacob J Chevlen | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| 1912534983 | Zachary Raphael Teibel | Clinic/Center | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| 1851928071 | Sanaz Mohammadzadeh | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1437654175 | Gabriela Abascal | Student in an Organized Health Care Education/Training Program | 1405 67th St, North Bergen, NJ 07047-3704 | 2018-03-26 |
| 1538778337 | Alexandria Lee Decena Ang | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-07-28 |
| 1114555216 | Neenu Antony | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-04-01 |
| 1801424098 | Elizabeth Aziz | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-04-01 |
| 1659909414 | Ahmad Izzat Al-awwa | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-29 |
| 1043847056 | Vinh Ngoc Pham | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-27 |
| 1619504859 | Jacob J Chevlen | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| 1851928071 | Sanaz Mohammadzadeh | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| 1457988495 | Ashraf Mahmood | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2020-03-26 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
Please comment or provide details below to improve the information on JANE PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.