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PALISADES PARK PAIN & REHABILITATION MEDICINE, PA
NPI 1063647980
Internal Medicine - Nephrology in Ridgefield, NJ

Active since May 21, 2009
784 GRAND AVE STE 301, RIDGEFIELD, NJ 07657(201) 944-1124(201) 699-0406 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palisades Park Pain & Rehabilitation Medicine, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALISADES PARK PAIN & REHABILITATION MEDICINE, PA (NPI 1063647980) is a healthcare organization registered as a nephrology in Ridgefield, New Jersey and active in the NPI registry since May 2009. The organization lists Wonil Park, President, as its authorized official.

NPPES Registry Identity

NPI1063647980
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePALISADES PARK PAIN & REHABILITATION MEDICINE, PA
Location Address784 GRAND AVE STE 301Ridgefield, NJ 07657-1043
Mailing Address784 Grand Ave Ste 301Ridgefield, NJ 07657-1043 · (201) 944-1124 · Fax (201) 699-0406
Phone(201) 944-1124
Fax(201) 699-0406
Organization SubpartNo
Authorized OfficialWonil ParkPresident · (201) 944-1124
Enumeration DateMay 21, 2009
Last NPPES UpdateMay 7, 2020
NPPES CertifiedMay 7, 2020
✔ NPI 1063647980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · MA58515
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

784 GRAND AVE STE 301, Ridgefield, NJ 07657
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palisades Park Pain & Rehabilitation Medicine, PA's NPI number?

The NPI number for Palisades Park Pain & Rehabilitation Medicine, PA is 1063647980. It was assigned to this organization in the NPPES registry on May 21, 2009.

Where is Palisades Park Pain & Rehabilitation Medicine, PA located?

Palisades Park Pain & Rehabilitation Medicine, PA is located at 784 Grand Ave Ste 301, Ridgefield, NJ 07657. The listed phone number is (201) 944-1124.

What is Palisades Park Pain & Rehabilitation Medicine, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Palisades Park Pain & Rehabilitation Medicine, PA was last updated on May 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.