Min Park

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02470100 Issued in NJ

Practice address

270 Marin Blvd Apt 11Q
Jersey City, NJ 07302-3680

Phone

(917) 969-2303

NPI assigned

May 12, 2011

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: mpark6@montefioredirect.com

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1982996641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MARIN BLVD APT 11Q",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023680",
            "telephone_number": "917-969-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MARIN BLVD APT 11Q",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023680",
            "telephone_number": "917-969-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02470100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gyu Tae Park, D.D.S.
• Hyojin Park
• Isaac Park
• Jina Park, LCSW
• Jung Ho Park
• Seongae Park
• Soyoung Park
• Toni Park, PHARMD, RPH
• Young K Park, M.D.
• Shanell Parker

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.