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DR. MADELINE NAHJIN PARK DDS
NPI 1518456672
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since May 04, 2018
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-5593 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 31, 2019, May 4, 2018 (2 updates tracked since 2018).

About Dr. Madeline Nahjin Park Dds NPPES

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

DR. MADELINE NAHJIN PARK DDS (NPI 1518456672) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since May 2018. She maintains a secondary practice location in Bayonne.

NPPES Registry Identity

NPI1518456672
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MADELINE NAHJIN PARKCredential: DDS
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address130 Overlook Ave Apt 4eHackensack, NJ 07601-2234 · (201) 394-4530
Phone(551) 996-5593
Sole ProprietorYes
Enumeration DateMay 4, 2018
Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration
✔ NPI 1518456672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentistTaxonomy 122300000X · License 22DI02740700 (NJ)
30 PROSPECT AVE, Hackensack, NJ 07601
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Secondary Practice Location 1

Location 11160 John F. Kennedy Blvd, Suite BBayonne, NJ 07002 · Phone (201) 471-7777

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 Madeline Park's NPI number?

The NPI number for Madeline Park is 1518456672. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Madeline Park located?

Madeline Park practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-5593.

What is Madeline 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 Madeline Park was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.