Active NPI
John C Park, MD
- Ophthalmology Physician
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25MA07540000
- Practice address
- 2177 Oak Tree Rd
#203
Edison, NJ 08820-1082 - Phone
- (908) 822-0070
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25MA07540000 | NJ | Primary |
Addresses
Primary practice location
2177 Oak Tree Rd
#203
Edison, NJ 08820-1082
Mailing address
2177 Oak Tree Rd
#203
Edison, NJ 08820-1082
Phone (908) 822-0070
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1440 How LN
Suite 2B
N Brunswick, NJ 08902-4600
Phone (732) 249-6164
2177 Oak Tree Rd
Suite 203
Edison, NJ 08820-1082
49 Veronica Ave
Suite 204
Somerset, NJ 08873-6802
Phone (732) 565-1500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Quality
- 98.31
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 333 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillips Eye Consultants | Ophthalmology | Current | Accepting new patients |
| Edison Ophthalmology Associates L.L.C. | Ophthalmology | Current | Accepting new patients |
Locations
2177 Oak Tree Rd
Ste 203
Edison, NJ 08820
Phone (908) 820-0070
1440 How Ln
Ste 2B
North Brunswick, NJ 08902
Phone (732) 246-1133
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Edison, NJ
- NPI 1851339840
-
- Ophthalmic Technician/Technologist
- North Brunswick, NJ
- NPI 1447319579
Ophthalmology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JFK University Medical Center
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Edison, NJ
- NPI 1780301366
Hospital
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255372827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 OAK TREE RD",
"address_2": "#203",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201082",
"telephone_number": "908-822-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 OAK TREE RD",
"address_2": "#203",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201082",
"telephone_number": "908-822-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA07540000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.