Individual provider Active NPI

Esther Aeduk Park, FNP

  • Family Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1386474435
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15094200 Issued in NJ
Practice address
30 Matson Rd
Edison, NJ 08817-3828
Phone
(908) 938-7020
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15094200 NJ Primary

Addresses

Primary practice location

30 Matson Rd
Edison, NJ 08817-3828

Mailing address

30 Matson Rd
Edison, NJ 08817-3828

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521001732 NJ Practitioner - Nurse Practitioner 3577824960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Medical Associates of NJ LLCGroup PAC ID 4880095637, 29 clinicians
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians

Practice addresses (Care Compare)

100 Challenger Rd
Suite 205
Ridgefield Park, NJ 07660-2108
Phone (443) 383-9300

331 Newman Springs Rd
Suite 320
Red Bank, NJ 07701-6671
Phone (888) 402-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15094200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates of NJ LLC CurrentSince May 26, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jul 6, 2025 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

331 Newman Springs Rd
Ste 320
Red Bank, NJ 07701
Phone (646) 450-7641

100 Challenger Rd
Ridgefield Park, NJ 07660
Phone (201) 801-6200

100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1386474435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MATSON RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MATSON RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173828",
            "telephone_number": "908-938-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ESTHER",
        "middle_name": "AEDUK",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15094200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.