Olga Park, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA10429000 Issued in NJ

Practice address

200 Williamson St Ste 320
Elizabeth, NJ 07202-2909

Phone

(908) 994-5750

Fax

(908) 558-0269

NPI assigned

Jun 13, 2012

Last updated

Jan 23, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Pediatrics

  Medicare reassignment NPD
• Trinitas Physicians Practice, LLC

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1205189941
  NPD
• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  NPD (past)
• Trinitas Regional Medical Center

  dba Trinitas Womens Care

  • Obstetrics & Gynecology Physician
  • Elizabeth, NJ
  • NPI 1871836767
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1609138791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILLIAMSON ST STE 320",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022909",
            "telephone_number": "908-994-5750",
            "fax_number": "908-558-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WILLIAMSON ST STE 320",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022909",
            "telephone_number": "908-994-5750",
            "fax_number": "908-558-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "OLGA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10429000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Hugo Pareja, MD
• Kruti Parikh, M.D.
• Nikesh N Parikh, PHARMD, RPH
• Paris and Betancourt, DMD
• Jay J Paris, DDS
• Marlene Raphael Parrikal, MD
• Milagros Pastrana, LSW
• Amita N Patel, M.D.,
• Aruna Sureshbhai Patel, M.D. LLC.
• Biren D Patel, MD

• Pediatrics Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Pediatrics Physician in New Jersey

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