Active NPI
Christine J Park, M.D.
- Surgery Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 83325
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 971-5000
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 83325 | MN | Primary |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
200 Elm St N
Onamia, MN 56359-7901
Other practice location 1
330 Cedar St Rm 131
New Haven, CT 06510-3218
Phone (530) 204-8366
Other practice location 2
200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-3154
Other practice location 3
353 E 17th St
2nd floor Rm. 223
New York, NY 10003-3821
Phone (212) 420-3743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000
1000 N Village Ave
Rockville Center, NY 11570-1000
540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2555
580 Union Blvd
West Islip, NY 11795-3105
Phone (631) 321-3801
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 14 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310421 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Past | Accepting new patients |
Locations
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
580 Union Blvd
West Islip, NY 11795
Phone (631) 321-6801
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- cpark134256@direct-chsli.net
Organizations & group practices 3
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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1851719843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ELM ST N",
"city": "ONAMIA",
"state": "MN",
"postal_code": "563597901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "973-971-5000"
}
],
"practiceLocations": [
{
"address_1": "330 Cedar St Rm 131",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103218",
"country_code": "US",
"telephone_number": "530-204-8366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Elm St N",
"address_purpose": "LOCATION",
"city": "Onamia",
"state": "MN",
"postal_code": "563597901",
"country_code": "US",
"telephone_number": "320-532-3154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "353 E 17th St",
"address_2": "2nd floor Rm. 223",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100033821",
"country_code": "US",
"telephone_number": "212-420-3743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "CHRISTINE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "83325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.