Active NPI
Janet Jeong Park
- Foot & Ankle Surgery Podiatrist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00375100
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (347) 577-4410
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00375100 | NJ | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
111 E 210TH St
Bronx, NY 10467-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1187 Main Ave
Clifton, NJ 07011-2252
Phone (973) 340-8970
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 83.84
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 35 |
| Removal or shaving of skin growth | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curalta Medical LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Proactive Foot and Ankle | Single Specialty | Current | Accepting new patients |
| Proactive Foot and Ankle | Current | Accepting new patients | |
| Curalta Medical LLC | Single Specialty | Current | Accepting new patients |
Locations
350 Bloomfield Ave
Ste 5
Bloomfield, NJ 07003
Phone (973) 259-1490
1187 Main Ave
Ste 2D
Clifton, NJ 07011
1187 Main Ave
Clifton, NJ 07011
Phone (973) 340-8970
74 Pascack Rd
Ste 6
Park Ridge, NJ 07656
Phone (201) 291-1113
504 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 956-8600
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Millburn, NJ
- NPI 1679303366
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Park Ridge, NJ
- NPI 1639699325
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Old Tappan, NJ
- NPI 1710477864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1912536095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "347-577-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JANET",
"middle_name": "JEONG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00375100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.