Peter Park, M.D.
Surgery Physician · Hackensack, NJ
Practice location
20 Prospect Ave Ste 901Hackensack, NJ 07601-1974
- Phone
- (551) 996-4777
- Fax
- (551) 996-0800
NPI record
- NPI
- 1164800850
- Entity type
- Individual (Type 1)
- Enumeration date
- May 13, 2015
- Last updated
- November 23, 2022
- Certified
- November 23, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Physician Primary | 208600000X |
25MA11518300 | NJ |
| Surgery Physician | 208600000X |
MT208732 | PA |
| Surgery Physician | 208600000X |
68994 | CT |
Mailing address
3600 Route 66 Fl 3Neptune, NJ 07753-2645
- Phone
- (732) 807-0877
- Fax
- (201) 751-1680
Other practice locations (1)
- 20 York St, New Haven, CT 06510-3220 · (203) 688-4242
About Dr. Park
Peter Park, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 20 Prospect Ave Ste 901, Hackensack, NJ 07601-1974. The NPI number 1164800850 was assigned on May 13, 2015 and the record was last updated on November 23, 2022.
Dr. Park lists 3 licenses in the registry: #25MA11518300 (NJ) for Surgery Physician; #MT208732 (PA) for Surgery Physician; #68994 (CT) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Peter Park, M.D.?
The NPI number is 1164800850.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (551) 996-4777.
Where is Dr. Park located?
20 Prospect Ave Ste 901, Hackensack, NJ 07601-1974.
What is the taxonomy code for Dr. Park?
The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Surgery Physician providers in Hackensack
- Howard Jay Goldson, M.D.20 Prospect Ave Ste 315
- Byer & Keys PA211 Essex St
- Roxana Kline MD LLC332 Summit Ave
- Melanie Hamilton Howell, M.D.50 Passaic St
- Salvatore J. Forcina, MD810 Main St
- Akeso Wound Institute, LLC5 Summit Ave Ste 105
- Saraswati D. Dayal, MD, LLC5 Summit Ave
- Jean Beaudy Guerrier, MD30 Prospect Ave
- Peter J. Stewart, MD30 Prospect Ave
- On Keypoint Med LLC5 Summit Ave Ste 106
- Kelly Rippey, M.D.5 Summit Ave
- J. Martin Perez, MD, LLC5 Summit Ave Ste 105