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DR. MARK PARK DMD, MD
NPI 1912248683
Oral & Maxillofacial Surgery in Westwood, NJ

Active since March 06, 2013Opted out of Medicare · through Oct 1, 2027
260 OLD HOOK RD STE 202, WESTWOOD, NJ 07675(347) 948-8622 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2019, Aug 11, 2019, Jul 7, 2019 (3 updates tracked since 2019).

About Dr. Mark Park Dmd, Md NPPES

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

DR. MARK PARK DMD, MD (NPI 1912248683) is an individual oral & maxillofacial surgery provider in Westwood, New Jersey, licensed in New Jersey (22DI02564200) and active in the NPI registry since March 2013. He has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1912248683
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MARK PARKCredential: DMD, MD
Location Address260 OLD HOOK RD STE 202Westwood, NJ 07675-3123
Mailing Address260 Old Hook Rd Ste 202Westwood, NJ 07675-3123
Phone(347) 948-8622
Sole ProprietorNo
Enumeration DateMarch 6, 2013
Last NPPES UpdateOctober 11, 20193 updates tracked since enumeration
✔ NPI 1912248683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in NJ · 22DI02564200✔ Licensed in NY · 300173✔ Licensed in NY · 060757
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
260 OLD HOOK RD STE 202, Westwood, NJ 07675
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Secondary Practice Location 1

Location 1180 Fort Washington AveNew York, NY 10032-3722 · Phone (212) 305-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark Park Dmd, Md 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 October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. SONIA E FRANCIONI-VULAJ D.M.D.
Dentist (Oral and Maxillofacial Surgery)
260 OLD HOOK RD STE 202
WESTWOOD, NJ 07675
Bergen County (201) 664-5656
DR. IRENE SHUMAN DDS
Dentist (Oral and Maxillofacial Surgery)
260 OLD HOOK RD STE 202
WESTWOOD, NJ 07675
Bergen County (201) 664-5656

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 Mark Park's NPI number?

The NPI number for Mark Park is 1912248683. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Mark Park located?

Mark Park practices at 260 Old Hook Rd Ste 202, Westwood, NJ 07675. The listed phone number is (347) 948-8622.

What is Mark Park's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mark Park enrolled in Medicare?

No. Mark Park has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mark Park accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Mark Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Park was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.