Individual provider Active NPI

John C Park, MD

  • Ophthalmology Physician
  • Edison, NJ
National Provider Identifier
1255372827
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07540000 Issued in NJ
Practice address
2177 Oak Tree Rd
#203
Edison, NJ 08820-1082
Phone
(908) 822-0070
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001169 NJ Practitioner - Ophthalmology 1759371610 Reassigns benefits to 2 organizations

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
Phillips Eye ConsultantsGroup PAC ID 3375598899, 2 clinicians
Edison Ophthalmology Associates L.L.C.Group PAC ID 7911168802, 5 clinicians

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 100Reported as group
Quality
98.31
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Eye Consultants Ophthalmology CurrentSince Feb 1, 2006 Accepting new patients
Edison Ophthalmology Associates L.L.C. Ophthalmology CurrentSince Mar 3, 2012 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.