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EUGENE PARK L.AC, PA-C
NPI 1154472546
Physician Assistant in Fort Lee, NJ

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
458 WEST ST, FORT LEE, NJ 07024(201) 474-7700 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eugene Park L.ac, Pa-c NPPES

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

EUGENE PARK L.AC, PA-C (NPI 1154472546) is an individual physician assistant in Fort Lee, New Jersey, licensed in New York (025055) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1154472546
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEUGENE PARKCredential: L.AC, PA-C
Location Address458 WEST STFort Lee, NJ 07024-3408
Mailing Address24a E Edsall BlvdPalisades Park, NJ 07650-3626 · (323) 304-4832
Phone(201) 474-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1154472546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 025055✔ Licensed in NJ · 25MP00577600✔ Licensed in CA · PA18721
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedAcupuncturistTaxonomy 171100000X · License 7437 (NY), AC8570 (CA), 25MZ00169700 (NJ)
458 WEST ST, Fort Lee, NJ 07024
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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

Eugene Park L.ac, Pa-c 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 ID9830312933
PECOS Enrollment IDI20201014000153
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 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MAHA AL-YOUSEFY
Internal Medicine (Critical Care Medicine)
458 WEST ST
FORT LEE, NJ 07024
Bergen County (201) 474-7700

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 Eugene Park's NPI number?

The NPI number for Eugene Park is 1154472546. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Eugene Park located?

Eugene Park practices at 458 West St, Fort Lee, NJ 07024. The listed phone number is (201) 474-7700.

What is Eugene Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Eugene Park enrolled in Medicare?

Yes. Eugene 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.

Is Eugene Park affiliated with any hospitals?

According to CMS data, Eugene Park is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Eugene Park was last updated on January 12, 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.