Joon Hyung Park, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI02566800 Issued in NJ

Practice address

1001 Clifton Ave
Clifton, NJ 07013-3586

Phone

(973) 773-6050

NPI assigned

Apr 16, 2012

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Premier Endodontics

  • Endodontics
  • Englewood, NJ
  • NPI 1629806583
  NPD Authorized official
• Tri County Endodontics, LLC

  • Endodontics
  • Clifton, NJ
  • NPI 1528748571
  NPD Authorized official
• All County Endodontics, PC

  • Endodontics
  • Scarsdale, NY
  • NPI 1518590918
  NPD Authorized official

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1891052882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 CITY PL",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203136",
            "telephone_number": "443-465-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133586",
            "telephone_number": "973-773-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOON",
        "middle_name": "HYUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02566800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paragon Monitoring LLC (Guardian Neurophysiology LLC)
• Param Healthcare & It Services, Inc (Param Adult Day Care)
• Keval Parikh
• Sanjiv R Parikh, M.D.
• Park Ave Medical Centre LLC
• Seoun H Park, ANP
• Brianna Parsons
• Parthiv V Raval,MD LLC
• Partnerships for People, Inc.
• Partnerships for People, Inc.

• Endodontics in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.