Dr Chan Woo Park, MD | |
90 Bergen Street- Suite 8100, Department Of Otolaryngology, Doc Building, Newark, NJ 07103 | |
(973) 972-4588 | |
Not Available |
Full Name | Dr Chan Woo Park |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 17 Years |
Location | 90 Bergen Street- Suite 8100, Newark, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760644280 | NPI | - | NPPES |
1760644280 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD60287386 (Washington) | Secondary |
207Y00000X | Otolaryngology | 25MA09356100 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hackensack University Medical Center | Hackensack, NJ | Hospital |
The University Hospital | Newark, NJ | Hospital |
Saint Barnabas Medical Center | Livingston, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Physician Associates Of New Jersey Inc | 9830003417 | 241 |
Entity Name | University Physician Associates Of New Jersey Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639189236 PECOS PAC ID: 9830003417 Enrollment ID: O20040301000906 |
Entity Name | Trinitas Physicians Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205189941 PECOS PAC ID: 6709002850 Enrollment ID: O20140725000027 |
Mailing Address | Practice Location Address |
---|---|
Dr Chan Woo Park, MD 90 Bergen Street- Suite 8100, Department Of Otolaryngology, Doc Building, Newark, NJ 07103 Ph: (973) 972-4588 | Dr Chan Woo Park, MD 90 Bergen Street- Suite 8100, Department Of Otolaryngology, Doc Building, Newark, NJ 07103 Ph: (973) 972-4588 |
Dr. Evelyne Kalyoussef, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street, Suite8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Christen Lennon Caloway, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St Ste 8100, Newark, NJ 07103 Phone: 973-972-2548 Fax: 973-972-8567 | |
Dr. Yu-lan Mary Ying, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Eric T Carniol, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-2548 | |
Dr. Jean Anderson Eloy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 Fax: 973-972-3767 | |
Soly Baredes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Doc-7200, Newark, NJ 07103 Phone: 973-972-2400 Fax: 973-972-2988 | |
Andrey Filimonov, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 90 Bergen St Ste 8100, Newark, NJ 07103 Phone: 973-972-2548 |