Active NPI
Parkmed Associates Inc
- Vascular & Interventional Radiology Physician
- Old Bridge, NJ
National Provider Identifier
1245514249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter B Park, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Vascular & Interventional Radiology Physician
- Old Bridge, NJ
- NPI 1487609723
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.