Park Medico Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MA03183100 Issued in NJ

Legal business name

PARK MEDICO CENTER

Practice address

50 Park Ave
Paterson, NJ 07501-2207

Phone

(973) 278-9800

Fax

(973) 278-0070

NPI assigned

Apr 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Yong Ho Shin, MD

Title

President

Phone

(973) 278-9800

Specialties & licenses 3

Addresses

Other names 1

• none Doing business as

Locations

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1326364589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012207",
            "telephone_number": "973-278-9800",
            "fax_number": "973-278-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012207",
            "telephone_number": "973-278-9800",
            "fax_number": "973-278-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICO CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-278-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA03183100",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA038183100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhi Biren Parikh
• Sara Parisi, LCSW
• Park Ave Drugs LLC
• Park Avenue Clinic, PC
• Park Dental New Jersey PC
• Ha Rin Park
• Parkview Pediatric Group, P.C.
• Parkway Med Urgent Care PC
• Parkway Urgent Care
• Naveen R Parva, MD

• Clinic/Center in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.