Mark Park (NPI# 1912248683, PAC ID# 5991038853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1912248683 |
| PAC ID by PECOS | 5991038853 |
| Professional Enrollment ID | I20190607000346 |
| Full Name | Mark Park |
| Organization Legal Name | BERGEN ORAL SURGERY GROUP PA |
| Address |
250 Old Hook Rd Suite 202 Westwood NJ 07675-3123 |
| Phone Number | 2016645656 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 9739283763 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 250 Old Hook Rd, Suite 202, Westwood, NJ 07675-3123 | 2016645656 | BERGEN ORAL SURGERY GROUP PA |
| Organization Legal Name | BERGEN ORAL SURGERY GROUP PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Moss | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Vincent P Novelli | Oral Surgery | Bergen Oral Surgery Group Pa | 794 Franklin Ave, Suite 202, Franklin Lakes, NJ 07417-1379 |
| Jason Diamond | Maxillofacial Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Chang H Han | Oral Surgery | Bergen Oral Surgery Group Pa | 794 Franklin Ave, Suite 202, Franklin Lakes, NJ 07417-1379 |
| Angela M Illuzzi Russo | Oral Surgery | Bergen Oral Surgery Group Pa | 920 Main St, Suite 1, Hackensack, NJ 07601-5013 |
| Street Address |
250 OLD HOOK RD SUITE 202 |
| City | WESTWOOD |
| State | NJ |
| Zip | 07675-3123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Majdouline Sabi | Internal Medicine | Hook Inpatient Services LLC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Ruhi Akhtar | Internal Medicine | Hook Inpatient Services LLC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Natacha Esber | Internal Medicine | Hook Inpatient Services LLC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Mohammed N Saeed | Internal Medicine | Hook Inpatient Services LLC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Elizabeth K Paskowski | Obstetrics/gynecology | Mpv New Jersey Md Services PC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Dorina A Leibu | Anesthesiology | New Jersey Healthcare Specialists PC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Jacob A Ouseph | Internal Medicine | Hook Inpatient Services LLC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Imran Muhammad Shuja | Internal Medicine | Hook Inpatient Services LLC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Andrew M Boruta | Anesthesiology | New Jersey Healthcare Specialists PC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Robin L Shore | Emergency Medicine | Barron Emergency Physicians LLC | 250 Old Hook Rd, Westwood, NJ 07675-3123 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Floyd Mitchell Smith | Optometry | 372 Kinderkamack Rd, Westwood, NJ 07675-1653 | |
| Janet Browner | Clinical Social Worker | 372 Kinderkamack Rd, Westwood, NJ 07675-1653 | |
| Toby M Friedman | Clinical Social Worker | 372 Kinderkamack Rd, Suite 2, Westwood, NJ 07675-1657 | |
| Valerie Holsinger | Clinical Social Worker | Comprehensive Behavioral Healthcare, Inc. | 569 Broadway, Westwood, NJ 07675-1663 |
| Dawn Cerruto | Clinical Social Worker | Comprehensive Behavioral Healthcare, Inc. | 569 Broadway, Westwood, NJ 07675-1663 |
| Lissa Edmond | Nurse Practitioner | Comprehensive Behavioral Healthcare, Inc. | 569 Broadway, Westwood, NJ 07675-1663 |
| Keri Mcbride | Clinical Social Worker | Comprehensive Behavioral Healthcare, Inc. | 569 Broadway, Westwood, NJ 07675-1663 |
| Annette Catherine Labarbiera | Physical Therapy | 701 Broadway, Westwood, NJ 07675-1668 | |
| David S Rosenstein | Chiropractic | David S. Rosenstein, Dc PC | 346 Kinderkamack Rd, Westwood, NJ 07675-1675 |
| Yevgeniya Boyko | Chiropractic | Select Wellness LLC | 10 Irvington St, Westwood, NJ 07675-1709 |
| Find all physicians in zip 07675 | |||
| City | WESTWOOD |
| Zip Code | 07675 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | WESTWOOD + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Mark Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.