DR. KRYSTLE HAVER PARK APRN
NPI 1417836339
Nurse Practitioner - Women's Health in Newark, NJ

Active since August 27, 2025
201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Krystle Haver Park Aprn NPPES

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

DR. KRYSTLE HAVER PARK APRN (NPI 1417836339) is an individual women's health provider in Newark, New Jersey, licensed in New Jersey (26NJ15400100) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1417836339
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameDR. KRYSTLE HAVER PARKCredential: APRN
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address42 Forrest RdRandolph, NJ 07869-4328 · (908) 675-1765
Sole ProprietorNo
Enumeration DateAugust 27, 2025
NPPES CertifiedJuly 29, 2025
NPI 1417836339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NJ · 26NJ15400100
201 LYONS AVE, Newark, NJ 07112

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.

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112

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 Krystle Park's NPI number?

The NPI number for Krystle Park is 1417836339. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Krystle Park located?

Krystle Park practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.

What is Krystle Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Krystle Park was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.