DR. JUNG JOO PARK (NPI# 1861829129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861829129 |
| Entity Type | Individual |
| Full Name | DR. JUNG JOO PARK |
| Credential | D.M.D. |
| Practice Address |
460 Sylvan Ave Fl 1 Englewood Cliffs NJ 07632-2943 |
| Practice Telephone | 2016087000 |
| Mailing Telephone | 2016087000 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02549600 | NJ | Dental Providers |
| Street Address |
460 SYLVAN AVE FL 1 |
| City | ENGLEWOOD CLIFFS |
| State | NJ |
| Zip Code | 07632-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598247942 | Joanne Y. Y Ji | Acupuncturist | 400 Sylvan Ave Ste#108, Englewood Cliffs, NJ 07632 | 2018-09-02 |
| 1497260111 | Pm Medical Acu. PC | Acupuncturist | 11 New Street, Suite #1, Englewood Cliffs, NJ 07632 | 2017-12-04 |
| 1548795628 | Greene Oaks Operating LLC | Skilled Nursing Facility | 180 Sylvan Av 2nd Floor, Suite 4, Englewood Cliffs, NJ 07632 | 2017-04-26 |
| 1821482134 | Cortland Acquisition LLC | Skilled Nursing Facility | 180 Sylvan Avenue, Carerite Centers LLC, Englewood Cliffs, NY 07632 | 2015-03-25 |
| 1609125475 | Ys Physical Therapy / Best Pain Clinic | Clinic/Center | 140 Sylvan Avenue, Suite 107, Englewood Cliffs, NJ 07632 | 2012-09-07 |
| 1134422785 | John S Cho Md, PC | Anesthesiology | 464 Hudson Terrace Suite 104, Englewood Cliffs, NJ 07632 | 2010-12-20 |
| 1700043841 | North Jersey Rehabilitation Center PC | Acupuncturist | 120 Van Nostrand Ave 1st Fl, Englewood Cliffs, NJ 07632 | 2008-05-16 |
| 1942488572 | Chang H Lee | Clinic/Center | 120 Charlotte Place, Middle Level, Englewood Cliffs, NJ 07632 | 2008-02-06 |
| 1538383336 | Christiane Elhamy Shaker | Pediatrics | 263 Center St, Englewood Cliffs, NJ 07632 | 2007-04-12 |
| 1689728883 | Dina F Rhodes | Physical Therapist | 610 E Palisade Ave, Englewood Cliffs, NJ 07632 | 2007-01-23 |
| Find all providers in zip 07632 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971618 | 201 Smiles LLC | Dentist | 6 Sylvan Ave Ste A, Englewood Cliffs, NJ 07632-2432 | 2017-02-17 |
| 1316106016 | Youngman Chun | Dentist | 460 Sylvan Ave Ste 201, Englewood Cliffs, NJ 07632-2923 | 2008-06-06 |
| 1043490956 | Jicheol Shin | Dentist | 460 Sylvan Ave # 1f, Englewood Cliffs, NJ 07632-2919 | 2007-11-07 |
| 1043309644 | Thomas L Chung | Dentist | 460 Sylvan Ave, Englewood Cliffs, NJ 07632 | 2006-10-12 |
| 1467562918 | Nicholas L Tummillo | Dentist | 640 Palisade Ave, Englewood Cliffs, NJ 07632 | 2006-08-30 |
| 1902915747 | Bruce Glenn Freund | Dentist | 510 Sylvan Avenue, Englewood Cliffs, NJ 07632 | 2006-08-29 |
| 1528502333 | Nickolaos John Kallis | Dentist | 617 E Palisade Ave, Englewood Cliffs, NJ 07632-1831 | 2016-12-13 |
| 1487956520 | Angela S Kim | Dentist | 700 E Palisade Ave, Englewood Cliffs, NJ 07632-3058 | 2010-11-22 |
| 1982910964 | Young Bin Bok | Dentist | 460 Sylvan Ave, Englewood Cliffs, NJ 07632-2919 | 2010-08-27 |
| 1942432224 | Soyeon Monica Kim | Dentist | 630 E Palisade Ave, Suite 2, Englewood Cliffs, NJ 07632-1842 | 2009-08-20 |
| Find all providers in ENGLEWOOD CLIFFS | ||||
| City | ENGLEWOOD CLIFFS |
| Zip Code | 07632 |
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| 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.