Junno Park, DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

JUNNO PARK, DPM LLC

Practice address

1 Melody LN Uppr
Saddle River, NJ 07458-1857

Phone

(732) 429-0177

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Junno Park, DPMNPI 1417301219

Title

Podiatrist

Phone

(732) 429-0177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Junno Park, DPM

  • Podiatrist
  • Saddle River, NJ
  • NPI 1417301219
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1962013953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MELODY LN UPPR",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581857",
            "telephone_number": "732-429-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MELODY LN UPPR",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581857",
            "telephone_number": "732-429-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNNO PARK, DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUNNO",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "732-429-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illuma Care Group LLC
• John Jackson, DMD
• James J. Monks, MD, PA
• Jennifer Russell Jarmark, LPC
• Joseph Kasper MD PA
• Andrew Kasper, ANDREW KASPER, M.D.
• David J Kasper, MD
• Joseph Kasper, MD
• Michael Eric Kasper, MD
• Katherine Sutton LLC

• Podiatrist in Saddle River, NJ
• Providers in Saddle River, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.