JANE PARK MD
NPI 1104323047
Student in an Organized Health Care Education/Training Program in North Bergen, NJ

Active since April 08, 2018PECOS EnrolledAccepts Medicare Assignment
7600 RIVER RD, NORTH BERGEN, NJ 07047(201) 854-5000 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jane Park Md NPPES

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

JANE PARK MD (NPI 1104323047) is an individual student in an organized health care education/training program in North Bergen, New Jersey and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104323047
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJANE PARKCredential: MD
Location Address7600 RIVER RDNorth Bergen, NJ 07047-6217
Mailing Address94-372 Hene StWaipahu, HI 96797-1301
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 8, 2018
Last NPPES UpdateDecember 6, 2021
NPI 1104323047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7600 RIVER RD, North Bergen, NJ 07047

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

Jane Park Md 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 ID648660845
PECOS Enrollment IDI20211202000362
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Student in an Organized Health Care Education/Training Program
7600 RIVER RD
NORTH BERGEN, NJ 07047
Clinic/Center (Ambulatory Surgical)
7600 RIVER RD, 4TH FLOOR
NORTH BERGEN, NJ 07047
Internal Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Anesthesiology
7600 RIVER RD
NORTH BERGEN, NJ 07047
Emergency Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047
Family Medicine
7600 RIVER RD
NORTH BERGEN, NJ 07047

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 Jane Park's NPI number?

The NPI number for Jane Park is 1104323047. It was assigned to this individual provider in the NPPES registry on April 8, 2018.

Where is Jane Park located?

Jane Park practices at 7600 River Rd, North Bergen, NJ 07047. The listed phone number is (201) 854-5000.

What is Jane Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jane Park enrolled in Medicare?

Yes. Jane 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 Jane Park was last updated on December 6, 2021. 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.