PARK MEDICAL GROUP PA
NPI 1386685162
Specialist in Harrington Park, NJ

Q: What is Park Medical Group PA's NPI number?

The NPI number for Park Medical Group PA is 1386685162. It was assigned to this organization in the NPPES registry on June 10, 2006.

Q: What is Park Medical Group PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 10, 2006

24 ELM ST, HARRINGTON PARK, NJ 07640(201) 784-0123 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Park Medical Group Pa NPPES

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

PARK MEDICAL GROUP PA (NPI 1386685162) is a healthcare organization registered as a specialist in Harrington Park, New Jersey and active in the NPI registry since June 2006. The organization lists Stephen Brunnquell, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1386685162

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePARK MEDICAL GROUP PA

Location Address24 ELM STHarrington Park, NJ 07640-1902

Mailing Address24 Elm StHarrington Park, NJ 07640-1902 · (201) 784-0123

Phone(201) 784-0123

Organization SubpartNo

Authorized OfficialStephen BrunnquellDelegated Official · (201) 784-0123

Enumeration DateJune 10, 2006

Last NPPES UpdateDecember 16, 2009

✔ NPI 1386685162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 25MA05743400

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.

24 ELM ST, Harrington Park, NJ 07640

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Other Identifiers 7

Medicaid7298803NJ

Other0048302001NJ · Amerihealth Group # Hp

OtherCB3927NJ · Rrmdcr Group #

Medicare PIN698434NJ

Other0048302002NJ · Amerihealth Group # T

Other0048302001NJ · Keystone Group #

Other0048302004NJ · Amerihealth Group # Nv

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SEULKIH D'ANDREA MD

Family Medicine