Steven K. Park, M. D., P.a.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

25MA02513800 Issued in NJ

Legal business name

STEVEN K. PARK, M. D., P.A.

Practice address

330 Woodstown Rd
Suite 3
Salem, NJ 08079-2034

Phone

(856) 935-7757

Fax

(856) 935-5233

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Steven K Park, M.D

Title

President

Phone

(856) 935-7757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1851618912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WOODSTOWN RD",
            "address_2": "SUITE 3",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792034",
            "telephone_number": "856-935-7757",
            "fax_number": "856-935-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WOODSTOWN RD",
            "address_2": "SUITE 3",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792034",
            "telephone_number": "856-935-7757",
            "fax_number": "856-935-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K. PARK, M. D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-935-7757",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "25MA02513800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Salem, NJ
• Providers in Salem, NJ by specialty
• Point of Service in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.