Paul M Parker, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA03647700 Issued in NJ

Practice address

122 E Ridgewood Ave
Paramus, NJ 07652-4038

Phone

(201) 967-1212

NPI assigned

Feb 14, 2006

Last updated

Apr 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgiplex LLC

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
  • NPI 1417044744
  NPD Authorized official
• Center for Plastic & Reconstructive Surgery PA

  dba Parker Center for Plastic Surgery

  • Plastic Surgery Physician
  • Paramus, NJ
  • NPI 1659442531
  Authorized official Same address or phone
• Parker Center for Plastic Surgery

  • Specialist
  • Paramus, NJ
  • NPI 1740219823
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1043284466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 869336",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750869336",
            "telephone_number": "972-519-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524038",
            "telephone_number": "201-967-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA03647700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "240003952",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Junghee Park, CNA
• Kaylee Park
• Nina Park, OTR/L
• Wendy Park, LCSW
• Parker Center for Plastic Surgery
• Daniel Parra
• Partners Pharmacy LLC (partners Pharmacy)
• Aazam Ahmad Parvez, M.D.
• Stephen D Pascal, D.M.D
• Stephanie Sauer Pasternak, CD(DONA), CLC

• Plastic Surgery Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.