JAMIE PARK NP
NPI 1477873107
Nurse Practitioner - Family in Englewood, NJ

Q: What is Jamie Park's NPI number?

The NPI number for Jamie Park is 1477873107. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Q: What is Jamie Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Park was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 04, 2010

200 GRAND AVE STE 203, ENGLEWOOD, NJ 07631(201) 588-0444 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jamie Park Np NPPES

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

JAMIE PARK NP (NPI 1477873107) is an individual family provider in Englewood, New Jersey, licensed in New Jersey (26NR00439400) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1477873107

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAMIE PARKCredential: NP

Location Address200 GRAND AVE STE 203Englewood, NJ 07631-4363

Mailing Address24 Campbell AveAirmont, NY 10901-6302 · (845) 538-3767

Phone(201) 588-0444

Sole ProprietorYes

Enumeration DateJune 4, 2010

Last NPPES UpdateDecember 21, 2016

✔ NPI 1477873107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NJ · 26NR00439400✔ Licensed in NY · F337600-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 02200576964 (NY)

200 GRAND AVE STE 203, Englewood, NJ 07631

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIN HWANG NP-C

Nurse Practitioner (Adult Health)

200 GRAND AVE STE 203
ENGLEWOOD, NJ 07631

Bergen County (201) 944-3115

MRS. SEO YOUNG SON NP-C

Nurse Practitioner (Family)

200 GRAND AVE STE 203
ENGLEWOOD, NJ 07631

Bergen County (201) 944-3115

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 Jamie Park's NPI number?

The NPI number for Jamie Park is 1477873107. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Jamie Park located?

Jamie Park practices at 200 Grand Ave Ste 203, Englewood, NJ 07631. The listed phone number is (201) 588-0444.

What is Jamie Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jamie Park was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.