Active NPI
Selin Park, FNP
- Nurse Practitioner
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ15363200
- Practice address
- 200 Grand Ave Ste 201
Englewood, NJ 07631-4363 - Phone
- (201) 944-3800
- NPI assigned
- Jul 9, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ15363200 | NJ | Primary |
Addresses
Primary practice location
200 Grand Ave Ste 201
Englewood, NJ 07631-4363
Mailing address
200 Grand Ave Ste 201
Englewood, NJ 07631-4363
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
388 Broad Ave
Leonia, NJ 07605-1715
Phone (201) 292-1567
4200 Bergenline Ave
Union City, NJ 07087-4924
Phone (551) 257-1948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Radiology Group of New Jersey, LLC | Single Specialty | Current | Accepting new patients |
| Joo Medical Center | Single Specialty | Current | Accepting new patients |
| DRX Paramus, LLC | Single Specialty | Current | Accepting new patients |
| Hudson MD Group | Single Specialty | Current | Accepting new patients |
| David W. Lee MD PA | Single Specialty | Past | Accepting new patients |
Locations
2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333
200 Grand Ave
Ste 201
Englewood, NJ 07631
Phone (201) 944-3800
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
388 Broad Ave
Leonia, NJ 07605
Phone (201) 292-1565
243 Chestnut St
Ste 3
Newark, NJ 07105
Phone (973) 274-9880
175 High St
Newton, NJ 07860
Phone (973) 383-2121
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010
9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300
4200 Bergenline Ave
Union City, NJ 07087
Phone (551) 251-1948
Organizations & group practices 5
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.
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Paramus, NJ
- NPI 1316272685
Single Specialty
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1710877782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GRAND AVE STE 201",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRAND AVE STE 201",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314363",
"telephone_number": "201-944-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SELIN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ15363200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.