1. Home
  2. Directory
  3. New Jersey
  4. Pompton Plains
  5. Dentist
  6. NPI Profile

ERWIN PARK
NPI 1730527243
Dentist - Oral and Maxillofacial Surgery in Pompton Plains, NJ

Active since June 06, 2013Opted out of Medicare · through Jun 17, 2027
28 JACKSON AVE STE 1, POMPTON PLAINS, NJ 07444(973) 831-0382 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erwin Park NPPES

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

ERWIN PARK (NPI 1730527243) is an individual oral and maxillofacial surgery provider in Pompton Plains, New Jersey, licensed in New Jersey (22DI02740400) and active in the NPI registry since June 2013. He has opted out of Medicare through June 17, 2027.

NPPES Registry Identity

NPI1730527243
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameERWIN PARK
Location Address28 JACKSON AVE STE 1Pompton Plains, NJ 07444-1479
Mailing Address28 Jackson Ave Ste 1Pompton Plains, NJ 07444-1479
Phone(973) 831-0382
Sole ProprietorNo
Enumeration DateJune 6, 2013
Last NPPES UpdateJuly 16, 2019
✔ NPI 1730527243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 22DI02740400
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
28 JACKSON AVE STE 1, Pompton Plains, NJ 07444
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Erwin Park has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2019 through June 17, 2027.

Opt-Out Effective DateJune 17, 2019
Opt-Out In Effect ThroughJune 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. MEREDITH BLITZ D.D.S.
Dentist (Oral and Maxillofacial Surgery)
28 JACKSON AVE STE 1
POMPTON PLAINS, NJ 07444
Morris County (973) 831-0382

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 Erwin Park's NPI number?

The NPI number for Erwin Park is 1730527243. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Erwin Park located?

Erwin Park practices at 28 Jackson Ave Ste 1, Pompton Plains, NJ 07444. The listed phone number is (973) 831-0382.

What is Erwin Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Erwin Park enrolled in Medicare?

No. Erwin Park has opted out of Medicare through June 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Erwin Park was last updated on July 16, 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.