DR. JOON HYUNG PARK (NPI# 1891052882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891052882 |
Entity Type | Individual |
Full Name | DR. JOON HYUNG PARK |
Credential | D.D.S. |
Practice Address |
1001 Clifton Ave Clifton NJ 07013-3586 |
Mailing Address |
2112 City Pl Edgewater NJ 07020-3136 |
Practice Telephone | 9737736050 |
Mailing Telephone | 4434654065 |
Enumeration Date | 2012-04-16 |
Last Update Date | 2014-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
22DI02566800 | NJ | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952953127 | Joon Park | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-07-09 |
1952861213 | Joon Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2019-03-22 |
1295251106 | Joon Park | Dentist | 687 E Linton Ave, Springfield, IL 62703-5902 | 2017-08-22 |
1982022737 | Joon Suk Park | Internal Medicine | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2014-03-30 |
1700031952 | Joon H Park | General Practice | 430 W Centre Ave, Portage, MI 49024 | 2008-12-01 |
1205095924 | Joon Park | Family Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2008-06-06 |
1972798452 | Joon Y Park | Physical Therapist | 3545 Wilshire Blvd Ste 250, Los Angeles, CA 90010-2389 | 2007-09-07 |
1699894709 | Joon Sung Park | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
1447314331 | Joon Hong Park | Allergy & Immunology | 75 Crystal Run Rd, Suite 220, Middletown, NY 10941-7000 | 2006-12-22 |
1881626224 | Joon Il Park | Internal Medicine | 8830 Long Point, Suite 402, Houston, TX 77055 | 2006-07-07 |
Street Address |
1001 CLIFTON AVE |
City | CLIFTON |
State | NJ |
Zip Code | 07013-3586 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114910809 | Leslie Elfenbein | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2005-08-26 |
1316390362 | Joseph Stern | Dentist | 1001 Clifton Ave, Clifton, NJ 07013-3586 | 2016-07-14 |
1477853844 | Rodolfo A Munera | Internal Medicine | 1001 Clifton Ave, Ste 1b, Clifton, NJ 07013-3586 | 2010-11-01 |
1407916968 | Roger Warren, Dds, Pa | Dentist | 1001 Clifton Ave, Suite 2a, Clifton, NJ 07013-3586 | 2006-12-12 |
1245329267 | Jason Deblinger | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-10-11 |
1629163399 | Ronald I. Deblinger | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-10-04 |
1417040445 | Endodontic Associates of Clifton | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-10-02 |
1861503625 | Daniel A Rice | Specialist | 1001 Clifton Ave, Clifton, NJ 07013-3586 | 2006-08-31 |
1942263124 | Clifton Endodontics | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-04-10 |
1396732293 | Roger Nelson Warren | Dentist | 1001 Clifton Ave, Clifton, NJ 07013-3586 | 2005-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215181755 | Infinite Endodontics North Jersey | Dentist | 1219 Main Avenue, Clifton, NJ 07011 | 2008-11-11 |
1497889364 | Lawrence J. Sheer | Dentist | 791 Passaic Ave, Clifton, NJ 07012-1853 | 2007-03-15 |
1114910809 | Leslie Elfenbein | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2005-08-26 |
1245329267 | Jason Deblinger | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-10-11 |
1629163399 | Ronald I. Deblinger | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-10-04 |
1417040445 | Endodontic Associates of Clifton | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-10-02 |
1942263124 | Clifton Endodontics | Dentist | 1001 Clifton Ave, Suite 1a, Clifton, NJ 07013-3586 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
1184276990 | Abc Family Smiles LLC | Dentist | 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 | 2019-07-11 |
1235638347 | Essex Endodontics PC | Dentist | 460 Bloomfield Ave Ste 311, Montclair, NJ 07042-3552 | 2018-02-04 |
1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
1366964017 | Sussex County Endodontics, PC | Dentist | 63 Newton Sparta Rd Ste 201, Newton, NJ 07860-2815 | 2017-07-14 |
1477916724 | Shayna Nicole Whiteman | Dentist | 141 Us Highway 46 Lowr Level, Rockaway, NJ 07866-4018 | 2016-04-04 |
1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
1366870198 | Sudharani Bodepudi | Dentist | 354 Lunar Rd, Piscataway, NJ 08854-5469 | 2013-10-14 |
1558700195 | Batastini Orthodontics, PC | Dentist | 69 Haddonfield - Berlin Road, Cherry Hill, NJ 08034 | 2013-06-17 |
1659612158 | Atlantic Endodontics LLC | Dentist | 235 E. Jimmie Leeds Road, Galloway, NJ 08205 | 2013-03-07 |
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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.