Peter B. Park, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

25MA07085300 Issued in NJ

Practice address

300 Perrine Rd
Suite 301
Old Bridge, NJ 08857-3627

Phone

(732) 727-8346

Fax

(732) 727-8345

NPI assigned

May 24, 2006

Last updated

Dec 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

State University of New York Downstate Medical Center, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Parkmed Associates Inc

  • Vascular & Interventional Radiology Physician
  • Old Bridge, NJ
  • NPI 1245514249
  Medicare reassignment NPD Authorized official
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• Robert Wood Johnson Medical Associates

  • Hospitalist Physician
  • New Brunswick, NJ
  • NPI 1902848625
  Medicare reassignment NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  Diagnostic Radiology

  Medicare reassignment NPD
• Vascular and Interventional Specialists, PC

  • Vascular & Interventional Radiology Physician
  • Old Bridge, NJ
  • NPI 1134937097
  NPD Authorized official
• Advanced Vascular Solutions, P.a.

  • Vascular & Interventional Radiology Physician
  • Tinton Falls, NJ
  • NPI 1033142328
  NPD (past)
• Monmouth Medical Imaging, PA

  • Diagnostic Radiology Physician
  • Long Branch, NJ
  • NPI 1477508810
  NPD (past)
• Summit Radiological Associates, P.a.

  dba Westfield Imaging Center

  • Radiology Clinic/Center
  • New Providence, NJ
  • NPI 1487794350
  NPD (past)
• Nufinity, LLC

  • Vascular & Interventional Radiology Physician
  • Lafayette, IN
  • NPI 1477506319

  Diagnostic Radiology

  NPD (past)
• Radiology, Inc

  • Diagnostic Radiology Physician
  • Mishawaka, IN
  • NPI 1578557815
  NPD (past)
• X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1770536815
  NPD (past)
• XRC Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1609829720
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1487609723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD",
            "address_2": "SUITE 301",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573627",
            "telephone_number": "732-727-8346",
            "fax_number": "732-727-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD",
            "address_2": "SUITE 301",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573627",
            "telephone_number": "732-727-8346",
            "fax_number": "732-727-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "PETER",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07085300",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA07085300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001236",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janki H Parikh, OD
• Meenakshi B. Parikh, M. D.
• Richa Parikh, OD
• Ruchit G Parikh
• Victoria Parisi
• Sung Hun Park
• Parkmed Associates Inc
• Neelu Parmar, DDS
• Maritza Georgette Parreno, M.D.
• Lauren E Passman, M.A. CCC-SLP

• Vascular & Interventional Radiology Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Vascular & Interventional Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.