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DR. CHANG S PARK M.D.
NPI 1740629948
Internal Medicine in Fort Lee, NJ

Active since June 20, 2013
200 OLD PALISADE RD APT 1E, FORT LEE, NJ 07024(201) 592-0619 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chang S Park M.d. NPPES

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

DR. CHANG S PARK M.D. (NPI 1740629948) is an individual internal medicine provider in Fort Lee, New Jersey, licensed in New York (173037-1) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1740629948
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHANG S PARKCredential: M.D.
Location Address200 OLD PALISADE RD APT 1EFort Lee, NJ 07024-7057
Mailing Address200 Old Palisade Rd Apt 1eFort Lee, NJ 07024-7057 · (201) 592-0619
Phone(201) 592-0619
Sole ProprietorYes
Enumeration DateJune 20, 2013
✔ NPI 1740629948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 173037-1✔ Licensed in NJ · 25MA05299100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 OLD PALISADE RD APT 1E, Fort Lee, NJ 07024
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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 Chang Park's NPI number?

The NPI number for Chang Park is 1740629948. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Chang Park located?

Chang Park practices at 200 Old Palisade Rd Apt 1E, Fort Lee, NJ 07024. The listed phone number is (201) 592-0619.

What is Chang Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Chang Park was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.