Tina Park, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02785600 Issued in NJ

Practice address

11 Lawrence Rd
Newton, NJ 07860-2794

Phone

(973) 300-0002

NPI assigned

Feb 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tina Choi Former name

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.

• Dentistry for Children at Mt. Kisco PC

  • Pediatric Dentistry
  • Mount Kisco, NY
  • NPI 1538883954
  NPD (past)
• Planet Smile Partners Main Street Dentistry PLLC

  dba Ortho on Main

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tuckahoe, NY
  • NPI 1750074209
  NPD (past)

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1265971048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 8TH ST",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322404",
            "telephone_number": "626-244-4294",
            "fax_number": "201-947-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAWRENCE RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602794",
            "telephone_number": "973-300-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014006",
            "country_code": "US",
            "telephone_number": "914-378-7848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E Main St",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105492340",
            "country_code": "US",
            "telephone_number": "914-864-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "TINA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059942",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02785600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "CHOI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Paino
• Palliative Medicine Associates LLC
• Robert J Pampin, D.O.
• Theresa Papagna
• Nirupama K Parikh, MD
• Kevin F Parkes, PTA
• Carrie Ann Parmelee, MSW
• Melissa Pastula, LPC
• Ramya Pasunuri, M.D.
• Jay Patel, M.D.

• Pediatric Dentistry in Newton, NJ
• Providers in Newton, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.