Shane Park, MS, RD - Dietitian in Kinnelon, NJ

Shane Park, MS, RD is a Dietitian, Registered based in Kinnelon, New Jersey. Shane Park is licensed to practice in * (Not Available) (license number ) and his current practice location is 27 Forestdale Rd, Kinnelon, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 879-6811.

NPI number for Shane Park is 1528639283 and his current mailing address is 27 Forestdale Rd, Kinnelon, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528639283.

Contact Information

Shane Park, MS, RD
27 Forestdale Rd,
Kinnelon, NJ 07405-2558
(973) 879-6811
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShane Park
GenderMale
SpecialityDietitian, Registered
Location27 Forestdale Rd, Kinnelon, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528639283
  • Provider Enumeration Date: 07/05/2021
  • Last Update Date: 07/05/2021

Medical Identifiers

Medical identifiers for Shane Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528639283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))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. Shane 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 AddressPractice Location Address
Shane Park, MS, RD
27 Forestdale Rd,
Kinnelon, NJ 07405-2558

Ph: () -
Shane Park, MS, RD
27 Forestdale Rd,
Kinnelon, NJ 07405-2558

Ph: (973) 879-6811

Reviews and Comments


Dietitian, Registered in Kinnelon, NJ

Purnima Shivaram,
Dietitian
Medicare: Medicare Enrolled
Practice Location: 8 Allen Dr, Kinnelon, NJ 07405
Phone: 973-519-1883    
Mrs. Dana Ann Jacko, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 9 Brookvale Rd, Kinnelon, NJ 07405
Phone: 973-838-8128    
Kristin Beraitis, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 51 Daniel Ln, Kinnelon, NJ 07405
Phone: 201-317-1852    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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