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ELISA PARK MD
NPI 1144070129
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since March 25, 2024
30 PROSPECT AVE # 4E-90, HACKENSACK, NJ 07601(551) 996-4842 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elisa Park Md NPPES

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

ELISA PARK MD (NPI 1144070129) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1144070129
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISA PARKCredential: MD
Location Address30 PROSPECT AVE # 4E-90Hackensack, NJ 07601-1915
Mailing Address30 Prospect Ave # 4e-90Hackensack, NJ 07601-1915
Phone(551) 996-4842
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 24, 2024
✔ NPI 1144070129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
30 PROSPECT AVE # 4E-90, Hackensack, NJ 07601
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Other Providers at the Same Location NPPES

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

ASNAT YUABOV DO
Student in an Organized Health Care Education/Training Program
30 PROSPECT AVE # 4E-90
HACKENSACK, NJ 07601
Bergen County (551) 996-4842

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 Elisa Park's NPI number?

The NPI number for Elisa Park is 1144070129. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Elisa Park located?

Elisa Park practices at 30 Prospect Ave # 4e-90, Hackensack, NJ 07601. The listed phone number is (551) 996-4842.

What is Elisa Park's specialty?

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

When was this NPI record last updated?

The NPPES record for Elisa Park was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.