YONG MOO PARK M.D.
NPI 1356345722
Specialist in East Orange, NJ

Active since June 13, 2005
300 CENTRAL AVE, EAST ORANGE, NJ 07018(973) 672-8400 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Yong Moo Park M.d. NPPES

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

YONG MOO PARK M.D. (NPI 1356345722) is an individual specialist in East Orange, New Jersey, licensed in New Jersey (MA 26048) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1356345722
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameYONG MOO PARKCredential: M.D.
Location Address300 CENTRAL AVEEast Orange, NJ 07018-2819
Mailing AddressPo Box 827944Philadelphia, PA 19182-7944 · (201) 804-2800
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateDecember 26, 2012
NPI 1356345722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · MA 26048
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.

300 CENTRAL AVE, East Orange, NJ 07018

Other Identifiers 3

Medicare ID-Type Unspecified488593NJ
Medicare UPINE54386
Medicaid0670308NJ

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.

Anesthesiology
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Anesthesiology
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Radiology (Diagnostic Radiology)
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Emergency Medicine
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Internal Medicine
300 CENTRAL AVE
EAST ORANGE, NJ 07018
General Acute Care Hospital
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Pathology (Anatomic Pathology & Clinical Pathology)
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Pathology (Anatomic Pathology & Clinical Pathology)
300 CENTRAL AVE
EAST ORANGE, NJ 07018

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 Yong Park's NPI number?

The NPI number for Yong Park is 1356345722. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Yong Park located?

Yong Park practices at 300 Central Ave, East Orange, NJ 07018. The listed phone number is (973) 672-8400.

What is Yong 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 Yong Park was last updated on December 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.