James J Park, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA07859600 Issued in NJ

Practice address

718 Teaneck Rd
Teaneck, NJ 07666-4245

Phone

(201) 833-3280

Fax

(201) 541-5919

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Diagnostic Radiology

Education

State University of New York Downstate Medical Center, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Advanced Imaging LLCGroup PAC ID 2860824547, 19 clinicians

Middletown Ventures Associates LLCGroup PAC ID 6406818236, 31 clinicians

Denville Diagnostics Imaging and Open MRI LLCGroup PAC ID 5496779290, 39 clinicians

Newton Imaging P.a.Group PAC ID 1254325970, 42 clinicians

Open MRI Radiology LLCGroup PAC ID 5193736122, 35 clinicians

Radiology Associates of Hackettstown LLCGroup PAC ID 3779666565, 35 clinicians

West Orange Radiology LLCGroup PAC ID 1557630936, 35 clinicians

East Brunswick Open Upright MRI LLCGroup PAC ID 7012921950, 27 clinicians

MRI Associates of Hackettstown LLCGroup PAC ID 0749320737, 26 clinicians

Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians

95 Madison Imaging Center at Morristown IncGroup PAC ID 0840516456, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
• Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
• Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Denville Diagnostics Imaging and Open MRI LLC

  • Radiology Clinic/Center
  • Denville, NJ
  • NPI 1235245119
  Medicare reassignment Care Compare group NPD
• East Brunswick Open Upright MRI LLC

  • Radiology Clinic/Center
  • East Brunswick, NJ
  • NPI 1689619546
  Medicare reassignment Care Compare group NPD
• Middletown Ventures Associates LLC

  • Radiology Clinic/Center
  • Middletown, NJ
  • NPI 1235170358
  Medicare reassignment Care Compare group NPD
• MRI Associates of Hackettstown LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Hackettstown, NJ
  • NPI 1528394921
  Medicare reassignment Care Compare group NPD
• Newton Imaging P.a.

  • Radiology Clinic/Center
  • Newton, NJ
  • NPI 1417988841
  Medicare reassignment Care Compare group NPD
• Open MRI Radiology LLC

  • Radiology Clinic/Center
  • Iselin, NJ
  • NPI 1760426589
  Medicare reassignment Care Compare group NPD
• Peace Health Partners, PC

  • Diagnostic Radiology Physician
  • Teaneck, NJ
  • NPI 1265463954
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Hackettstown LLC

  • Radiology Clinic/Center
  • Hackettstown, NJ
  • NPI 1407069925
  Medicare reassignment Care Compare group NPD
• West Orange Radiology, LLC

  • Radiology Clinic/Center
  • West Orange, NJ
  • NPI 1558711481
  Medicare reassignment Care Compare group NPD
• 95 Madison Imaging Center at Morristown Inc

  • Radiology Clinic/Center
  • Morristown, NJ
  • NPI 1356692925
  Medicare reassignment Care Compare group
• Center for Advanced Imaging LLC

  • Radiology Clinic/Center
  • Millburn, NJ
  • NPI 1417598087
  Medicare reassignment Care Compare group
• Radiologic Associates of Northern New Jersey, PA

  • Radiology Clinic/Center
  • Newton, NJ
  • NPI 1255362547
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Hackettstown, NJ
  • NPI 1518969419
  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation
• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation
• Memorial Hospital for Cancer & Allied Diseases

  • General Acute Care Hospital
  • Basking Ridge, NJ
  • NPI 1659385474
  Care Compare affiliation
• Memorial Sloan Kettering Bergen

  • General Acute Care Hospital
  • Montvale, NJ
  • NPI 1841650330
  Care Compare affiliation
• Memorial Sloan Kettering Monmouth

  • General Acute Care Hospital
  • Middletown, NJ
  • NPI 1528428521
  Care Compare affiliation
• Memorial Hospital for Cancer and Allied Diseases

  • General Acute Care Hospital
  • New York, NY
  • NPI 1700887411
  Care Compare affiliation
• Ralph Lauren Center for Cancer Care and Prevention

  • Special Hospital
  • New York, NY
  • NPI 1770046351
  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1497895056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13636",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013636",
            "telephone_number": "201-833-3280",
            "fax_number": "201-541-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3280",
            "fax_number": "201-541-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD425889",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07859600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185868",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Komal Pandya, DNP
• Joseph Pantiliano
• Kristyn Ann Papageorgiou, APN
• Gabriella Nancy Parisi, PMHNP-BC
• Anne June Park, D.O.
• Amanda Parker, PHD
• Parkview Pharmacy LLC
• Virendra Parmar, MD
• Raul O Parra, M.D.
• Sanah Parvez

• Diagnostic Radiology Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.