THE PARK MEDICAL GROUP, PA
NPI 1184795700
Specialist in Northvale, NJ

Active since November 13, 2006
163 PARIS AVE, NORTHVALE, NJ 07647(201) 768-9090(201) 768-9009 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Park Medical Group, Pa NPPES

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

THE PARK MEDICAL GROUP, PA (NPI 1184795700) is a healthcare organization registered as a specialist in Northvale, New Jersey and active in the NPI registry since November 2006. The organization lists Stephen Brunnquell, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1184795700
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE PARK MEDICAL GROUP, PA
Location Address163 PARIS AVENorthvale, NJ 07647-2028
Mailing Address24 Elm StHarrington Park, NJ 07640-1902 · (201) 784-0123 · Fax (201) 784-0065
Fax(201) 768-9009
Organization SubpartNo
Authorized OfficialStephen BrunnquellDelegated Official · (201) 784-0123
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1184795700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 25MA05743400
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

163 PARIS AVE, Northvale, NJ 07647

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

Other Providers at the Same Location NPPES 2

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

Specialist
163 PARIS AVE
NORTHVALE, NJ 07647
Occupational Therapist
163 PARIS AVE
NORTHVALE, NJ 07647

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 The Park Medical Group, PA's NPI number?

The NPI number for The Park Medical Group, PA is 1184795700. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is The Park Medical Group, PA located?

The Park Medical Group, PA is located at 163 Paris Ave, Northvale, NJ 07647. The listed phone number is (201) 768-9090.

What is The Park Medical Group, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for The Park Medical Group, PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.