Ha Rin Park

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00361200 Issued in NJ

Practice address

1040 Main St FL 3
Paterson, NJ 07503-2212

Phone

(888) 233-3415

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1295552248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CLINTON PL APT 7G",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014644",
            "telephone_number": "917-226-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MAIN ST FL 3",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032212",
            "telephone_number": "888-233-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 US Highway 46 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132461",
            "country_code": "US",
            "telephone_number": "888-233-3415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "HA",
        "middle_name": "RIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00361200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Parisi, LCSW
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• Park Avenue Clinic, PC
• Park Dental New Jersey PC
• Park Medico Center
• Parkview Pediatric Group, P.C.
• Parkway Med Urgent Care PC
• Parkway Urgent Care
• Naveen R Parva, MD
• Uzma Parvez, M.D.

• Physical Therapy Assistant in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.