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SHANE PARK MS, RD
NPI 1528639283
Dietitian, Registered in Kinnelon, NJ

Active since July 05, 2021
27 FORESTDALE RD, KINNELON, NJ 07405(973) 879-6811 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shane Park Ms, Rd NPPES

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

SHANE PARK MS, RD (NPI 1528639283) is an individual dietitian, registered in Kinnelon, New Jersey and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1528639283
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameSHANE PARKCredential: MS, RD
Location Address27 FORESTDALE RDKinnelon, NJ 07405-2558
Mailing Address27 Forestdale RdKinnelon, NJ 07405-2558
Phone(973) 879-6811
Sole ProprietorNo
Enumeration DateJuly 5, 2021
NPPES CertifiedJuly 5, 2021
✔ NPI 1528639283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
27 FORESTDALE RD, Kinnelon, NJ 07405
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Other Providers at the Same Location NPPES

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

JENNA PARK NCC LPC LPAT ATR-BC
Counselor (Mental Health)
27 FORESTDALE RD
KINNELON, NJ 07405
Morris County (973) 303-8613

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 Shane Park's NPI number?

The NPI number for Shane Park is 1528639283. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Shane Park located?

Shane Park practices at 27 Forestdale Rd, Kinnelon, NJ 07405. The listed phone number is (973) 879-6811.

What is Shane Park's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Shane Park was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.