Organization Active NPI

Parkmed Associates Inc

  • Vascular & Interventional Radiology Physician
  • Old Bridge, NJ
National Provider Identifier
1245514249
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
PARKMED ASSOCIATES INC
Practice address
300 Perrine Rd Ste 301
Old Bridge, NJ 08857-3629
Phone
(732) 727-8346
Fax
(732) 727-8345
NPI assigned
Oct 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Peter B Park, MDNPI 1487609723
Title
Owner
Phone
(732) 727-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

300 Perrine Rd Ste 301
Old Bridge, NJ 08857-3629

Mailing address

26 Driftwood LN
Colts Neck, NJ 07722-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120705000382 NJ Part B Supplier - Clinic/Group Practice 2860657467 Receives reassigned benefits from 1 practitioner
Practice locations: Old Bridge, NJ

National Provider Directory

National Provider Directory

Locations

300 Perrine Rd
Ste 301
Old Bridge, NJ 08857
Phone (732) 727-1355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1245514249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DRIFTWOOD LN",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 301",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573629",
            "telephone_number": "732-727-8346",
            "fax_number": "732-727-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKMED ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-09",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-727-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.