1. Home
  2. Directory
  3. New Jersey
  4. Palisades Park
  5. Specialist
  6. NPI Profile

CHANG S S PARK M.D
NPI 1275554610
Specialist in Palisades Park, NJ

Active since July 21, 2006
118 BROAD AVE N9, PALISADES PARK, NJ 07650(201) 482-0439(201) 482-8703 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2016, May 10, 2016 (2 updates tracked since 2016).

About Chang S S Park M.d NPPES

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

CHANG S S PARK M.D (NPI 1275554610) is an individual specialist in Palisades Park, New Jersey, licensed in New Jersey (25MA07699600) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1275554610
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCHANG S S PARKCredential: M.D
Location Address118 BROAD AVE N9Palisades Park, NJ 07650
Mailing Address118 Broad Ave N9Palisades Park, NJ 07650 · (201) 482-0439 · Fax (201) 482-8703
Phone(201) 482-0439
Fax(201) 482-8703
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 2, 20162 updates tracked since enumeration
✔ NPI 1275554610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA07699600
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.
118 BROAD AVE N9, Palisades Park, NJ 07650
Open in Google Maps ↗

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 Chang S Park's NPI number?

The NPI number for Chang S Park is 1275554610. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Chang S Park located?

Chang S Park practices at 118 Broad Ave N9, Palisades Park, NJ 07650. The listed phone number is (201) 482-0439.

What is Chang S Park'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 Chang S Park was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.