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TERRENCE PARK
NPI 1063866689
Podiatrist - Foot & Ankle Surgery in Cliffside Park, NJ

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
293 MARION AVE # 2, CLIFFSIDE PARK, NJ 07010(201) 916-0735 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2022, May 9, 2022 (2 updates tracked since 2022).

About Terrence Park NPPES

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

TERRENCE PARK (NPI 1063866689) is an individual foot & ankle surgery provider in Cliffside Park, New Jersey, licensed in New York (N007212-01) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1063866689
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTERRENCE PARK
Location Address293 MARION AVE # 2Cliffside Park, NJ 07010-2614
Mailing Address301 Glen DrCedar Knolls, NJ 07927-1316 · (201) 916-0735
Phone(201) 916-0735
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1063866689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · N007212-01
293 MARION AVE # 2, Cliffside Park, NJ 07010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Terrence Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002156643
PECOS Enrollment IDI20220204001696
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
123 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services31 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
84 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

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 Terrence Park's NPI number?

The NPI number for Terrence Park is 1063866689. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Terrence Park located?

Terrence Park practices at 293 Marion Ave # 2, Cliffside Park, NJ 07010. The listed phone number is (201) 916-0735.

What is Terrence Park's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Terrence Park enrolled in Medicare?

Yes. Terrence Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Terrence Park was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.