Dr Madeline Nahjin Park, DDS is a
Student In An Organized Health Care Education/training Program based in Hackensack, New Jersey. Dr Madeline Nahjin Park is licensed to practice in New Jersey (license number ) and her current practice location is
30 Prospect Ave, Hackensack, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(551) 996-5593.
NPI number for Dr Madeline Nahjin Park is 1518456672 and her current mailing address is 130 Overlook Ave Apt 4e, Hackensack, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518456672.
Healthcare Provider's Profile
| Full Name | Dr Madeline Nahjin Park |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 30 Prospect Ave, Hackensack, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518456672
- Provider Enumeration Date: 05/04/2018
- Last Update Date: 01/31/2019
Medical Identifiers
Medical identifiers for Dr Madeline Nahjin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518456672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 22DI02740700 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Madeline Nahjin Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Madeline Nahjin Park, DDS
130 Overlook Ave Apt 4e,
Hackensack, NJ 07601-2234
Ph: (201) 394-4530 | Dr Madeline Nahjin Park, DDS
30 Prospect Ave,
Hackensack, NJ 07601-1915
Ph: (551) 996-5593 |
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