Margaret Chu Park, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI20786 Issued in NJ

Practice address

2150 Center Ave
#1-C
Fort Lee, NJ 07024-5806

Phone

(201) 944-6944

Fax

(201) 944-7752

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1740376987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CENTER AVE",
            "address_2": "#1-C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245806",
            "telephone_number": "201-944-6944",
            "fax_number": "201-944-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CENTER AVE",
            "address_2": "#1-C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245806",
            "telephone_number": "201-944-6944",
            "fax_number": "201-944-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MARGARET",
        "middle_name": "CHU",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI20786",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "048482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaesung Park, DC
• Jeong In Park, PHARMACIST
• Jihye Park, DDS
• Jonghee Park
• Jung Chul Park
• Samue C. Park, D.C.
• Sara Park
• Shul Hyung Park, R.PH
• Soui Park
• Sun H Park, DC

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.