DR. SAMUE C. PARK D.C.
NPI 1801965918
Chiropractor in Fort Lee, NJ

Q: What is Samue Park's NPI number?

The NPI number for Samue Park is 1801965918. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Samue Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Samue Park was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 06, 2006

810 ABBOTT BLVD STE 304, FORT LEE, NJ 07024(201) 886-7080(201) 886-8069 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Samue C. Park D.c. NPPES

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

DR. SAMUE C. PARK D.C. (NPI 1801965918) is an individual chiropractor in Fort Lee, New Jersey, licensed in New Jersey (MC05716) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1801965918

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. SAMUE C. PARKCredential: D.C.

Location Address810 ABBOTT BLVD STE 304Fort Lee, NJ 07024-4117

Mailing Address810 Abbott Blvd Ste 304Fort Lee, NJ 07024-4117 · (201) 886-7080 · Fax (201) 886-8069

Phone(201) 886-7080

Fax(201) 886-8069

Sole ProprietorNo

Enumeration DateNovember 6, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1801965918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in NJ · MC05716✔ Licensed in NY · X009870

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

810 ABBOTT BLVD STE 304, Fort Lee, NJ 07024

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Other Identifiers 3

Medicare ID-Type UnspecifiedX2L251NY

Medicare UPINU84066NJ

Medicare PIN071005NJ

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 Samue Park's NPI number?

The NPI number for Samue Park is 1801965918. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Samue Park located?

Samue Park practices at 810 Abbott Blvd Ste 304, Fort Lee, NJ 07024. The listed phone number is (201) 886-7080.

What is Samue Park's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Samue Park was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.