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SELIN PARK FNP
NPI 1710877782
Nurse Practitioner in Englewood, NJ

Active since July 09, 2025PECOS EnrolledAccepts Medicare Assignment
200 GRAND AVE STE 201, ENGLEWOOD, NJ 07631(201) 944-3800 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Selin Park Fnp NPPES

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

SELIN PARK FNP (NPI 1710877782) is an individual nurse practitioner in Englewood, New Jersey, licensed in New Jersey (26NJ15363200) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710877782
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSELIN PARKCredential: FNP
Location Address200 GRAND AVE STE 201Englewood, NJ 07631-4363
Mailing Address200 Grand Ave Ste 201Englewood, NJ 07631-4363
Phone(201) 944-3800
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1710877782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ15363200
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
200 GRAND AVE STE 201, Englewood, NJ 07631
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Selin Park Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153827043
PECOS Enrollment IDI20250930002830
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

BORAM SONG
Nurse Practitioner (Family)
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800
SANDRA ZAVALA NP
Nurse Practitioner (Family)
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800
INNA KIM NP
Nurse Practitioner (Family)
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800
SON DERMATOLOGY, PC
Dermatology
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800

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 Selin Park's NPI number?

The NPI number for Selin Park is 1710877782. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Selin Park located?

Selin Park practices at 200 Grand Ave Ste 201, Englewood, NJ 07631. The listed phone number is (201) 944-3800.

What is Selin Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Selin Park enrolled in Medicare?

Yes. Selin Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Selin Park was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.