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RYAN PARK MD
NPI 1205621471
Student in an Organized Health Care Education/Training Program in Camden, NJ

Active since April 10, 2025
1 COOPER PLZ, CAMDEN, NJ 08103(856) 342-2351 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Park Md NPPES

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

RYAN PARK MD (NPI 1205621471) is an individual student in an organized health care education/training program in Camden, New Jersey and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1205621471
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN PARKCredential: MD
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address1 Cooper PlzCamden, NJ 08103-1461 · (856) 342-2351
Phone(856) 342-2351
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1205621471 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.
1 COOPER PLZ, Camden, NJ 08103
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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.

RACHEL EISENBROCK CHASE DO
Emergency Medicine
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-2000
MELANIE LAFFERTY CRNA
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 963-6770
DR. MARIA CASSOTIS D.O
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (484) 832-7271
DR. AFAF A. ANTER D.O
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Camden County (856) 342-3150
MRS. KASEY LYN MASSA LCSW
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-2000
MS. ANNE KIM MSN, RN, AGACNP-BC
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 968-7449
REBECA ARAUJO KELLY MD
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (631) 671-8540
PATRICK KEENAN PA-C
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-3150

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 Ryan Park's NPI number?

The NPI number for Ryan Park is 1205621471. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Ryan Park located?

Ryan Park practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2351.

What is Ryan 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 Ryan Park was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.