Individual provider Active NPI

Jihye Park, DDS

  • General Practice Dentistry
  • Fort Lee, NJ
National Provider Identifier
1699047480
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02485600 Issued in NJ
Practice address
1567 Palisade Ave Ste 2a
Fort Lee, NJ 07024-6923
Phone
(201) 568-3424
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02485600 NJ
General Practice Dentistry 1223G0001X 22DI02485600 NJ Primary

Addresses

Primary practice location

1567 Palisade Ave Ste 2a
Fort Lee, NJ 07024-6923

Mailing address

1567 Palisade Ave Ste 2a
Fort Lee, NJ 07024-6923
Phone (201) 568-3424

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

LicenseStateTypeSpecialty
22DI02485600NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
J Plus Dental PC CurrentSince Jan 7, 2024 Accepting new patients

Locations

277 Closter Dock Rd
Ste 7
Closter, NJ 07624
Phone (201) 777-3277

Organizations & group practices 1

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1699047480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVE STE 2A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-568-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 PALISADE AVE STE 2A",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246923",
            "telephone_number": "201-568-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JIHYE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02485600",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02485600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.