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SUSANNA MIRAN PARK L.AC.
NPI 1316329477
Acupuncturist in Fort Lee, NJ

Active since June 25, 2015
1265 15TH ST., UNIT #5B, FORT LEE, NJ 07024(201) 655-4333 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susanna Miran Park L.ac. NPPES

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

SUSANNA MIRAN PARK L.AC. (NPI 1316329477) is an individual acupuncturist in Fort Lee, New Jersey, licensed in New Jersey (25MZ0012880) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1316329477
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameSUSANNA MIRAN PARKCredential: L.AC.
Location Address1265 15TH ST., UNIT #5BFort Lee, NJ 07024-1954
Mailing Address1265 15th St., Unit #5bFort Lee, NJ 07024-1954 · (201) 655-4333
Phone(201) 655-4333
Sole ProprietorYes
Enumeration DateJune 25, 2015
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1316329477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
Licenses✔ Licensed in NJ · 25MZ0012880✔ Licensed in NY · 005495-1
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
1265 15TH ST., Fort Lee, NJ 07024
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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 Susanna Park's NPI number?

The NPI number for Susanna Park is 1316329477. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Susanna Park located?

Susanna Park practices at 1265 15th St. Unit #5b, Fort Lee, NJ 07024. The listed phone number is (201) 655-4333.

What is Susanna Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Susanna Park was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.