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DR. JONG KWAN PARK D.D.S.
NPI 1356721922
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since June 09, 2015
30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK, NJ 07601(201) 289-7858 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jong Kwan Park D.d.s. NPPES

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

DR. JONG KWAN PARK D.D.S. (NPI 1356721922) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1356721922
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JONG KWAN PARKCredential: D.D.S.
Location Address30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTERHackensack, NJ 07601-1915
Mailing Address30 Prospect Ave, Hackensack University Medical CenterHackensack, NJ 07601-1915 · (201) 289-7858
Phone(201) 289-7858
Sole ProprietorNo
Enumeration DateJune 9, 2015
✔ NPI 1356721922 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.
30 PROSPECT AVE, Hackensack, NJ 07601
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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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802

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 Jong Park's NPI number?

The NPI number for Jong Park is 1356721922. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Jong Park located?

Jong Park practices at 30 Prospect Ave Hackensack University Medical Center, Hackensack, NJ 07601. The listed phone number is (201) 289-7858.

What is Jong 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 Jong Park was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.