Erica Nicola Park, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07753800 Issued in NJ

Practice address

95 Mount Kemble Ave
Thebaud BLDG. 4TH Floor
Morristown, NJ 07960-5155

Phone

(973) 796-3600

Fax

(973) 267-3144

NPI assigned

Jul 28, 2005

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

Other identifiers 1

Other names 1

• Mrs. Erica David Other name

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

State licenses

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 and National Provider Directory roles.

• Rehabilitation Specialists of New Jersey, LLC

  • Specialist
  • East Hanover, NJ
  • NPI 1790727220
  Medicare reassignment NPD
• Allcare Medical and Pain Management Group PA

  • Rehabilitation Clinic/Center
  • Woodbridge, NJ
  • NPI 1760694095
  NPD (past)
• Associates in Rehabilitation Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Morristown, NJ
  • NPI 1144296880
  NPD (past)
• North Atlantic Pain and Rehab Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, NJ
  • NPI 1659413540
  NPD (past)
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1780684167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "address_2": "THEBAUD BLDG. 4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-796-3600",
            "fax_number": "973-267-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MOUNT KEMBLE AVE",
            "address_2": "THEBAUD BLDG. 4TH FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605155",
            "telephone_number": "973-796-3600",
            "fax_number": "973-267-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ERICA",
        "middle_name": "NICOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07753800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072770",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "DAVID",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarthak Parikh, DO
• Seema Parikh, MD
• Angela R Parisi, M.D.
• Christine J Park, M.D.
• Doo Park, MD
• Henry Park, MD
• Ki Baek Park, DMD
• Grant VS Parr, MD
• Andrew Michael Parziale, MD
• Carly T. Pasquale, MA, LAC, NCC

• Physical Medicine & Rehabilitation Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.