Hyewon Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04150900 Issued in NJ

Practice address

1400 Anderson Ave Ste 7
Fort Lee, NJ 07024-4470

Phone

(201) 224-8877

Fax

(201) 224-8871

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jane Star Corporation

  • Community/Retail Pharmacy
  • Fort Lee, NJ
  • NPI 1497020242
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1235846320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ANDERSON AVE STE 7",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244470",
            "telephone_number": "201-224-8877",
            "fax_number": "201-224-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ANDERSON AVE STE 7",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244470",
            "telephone_number": "201-224-8877",
            "fax_number": "201-224-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYEWON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04150900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Park, DDS
• David Park, DPT
• David Spring Park, LAC
• Eugene Park, L.AC, PA-C
• Haeri Park
• Hyun Joo Park, DPT
• Inhyon Park, D.C, L.AC
• Insun Park, D.C.
• Jaesung Park, DC
• Jeong In Park, PHARMACIST

• Pharmacist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.