Isaac Park

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00802900 Issued in NJ

Practice address

550 Newark Ave Ste 307
Jersey City, NJ 07306-1353

Phone

(201) 418-9111

NPI assigned

Feb 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Ortho & Pain Center Inc

  • Chiropractor
  • Jersey City, NJ
  • NPI 1174260731
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1831955111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 CRYSTAL BROOK WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061353",
            "telephone_number": "201-418-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Bergen Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "NJ",
            "postal_code": "076572042",
            "country_code": "US",
            "telephone_number": "551-451-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "ISAAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00802900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Park, PHARMD
• Christine Eunhee Park, DACM, LAC
• Eunbi Park
• Gyu Tae Park, D.D.S.
• Hyojin Park
• Jina Park, LCSW
• Jung Ho Park
• Min Park
• Seongae Park
• Soyoung Park

• Chiropractor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.