Active NPI
Angel Park, LCAT
- Music Therapist
- River Edge, NJ
National Provider Identifier
1669874491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 001638-1
- Practice address
- 954 Kinderkamack Rd
River Edge, NJ 07661-2312 - Phone
- (516) 497-4649
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 001638-1 | NY | Primary |
Addresses
Primary practice location
954 Kinderkamack Rd
River Edge, NJ 07661-2312
Mailing address
344 White Birch LN
Jericho, NY 11753-2625
Phone (516) 497-4649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001638-1 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1669874491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 WHITE BIRCH LN",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532625",
"telephone_number": "516-497-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 KINDERKAMACK RD",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076612312",
"telephone_number": "516-497-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ANGEL",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "001638-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Edge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.