Palisades Park Dental P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PALISADES PARK DENTAL P.C.

Practice address

225 Broad Ave # 102
Palisades Park, NJ 07650-1588

Phone

(201) 461-5580

NPI assigned

Sep 20, 2018

Organization subpart

No

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

Authorized official

Name

Myungsook Choi

Title

Manager

Phone

(201) 321-2354

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard K Jung, DDS

  • General Practice Dentistry
  • Palisades Park, NJ
  • NPI 1467624536
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1801370366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROAD AVE # 102",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501588",
            "telephone_number": "201-461-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROAD AVE # 102",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501588",
            "telephone_number": "201-461-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES PARK DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "MYUNGSOOK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-321-2354"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seo Jin Oh
• Silvia Edelina Ordonez, COTA
• Michael Ostrofsky, D.D.S.
• Pal Park Physical Therapy PC
• Palisades Park Bo Orthodontics
• Palisades Park Medicine, P.C.
• Palisades Park School District
• Palpark Physical Therapy
• Maria Elena Parisi
• Chang S S Park, M.D

• Oral and Maxillofacial Surgery (Dentist) in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.