Dr Chong H Park, MD, FRCS(US) is a
Pain Medicine - Interventional Pain Medicine physician based in Montclair, New Jersey. Dr Chong H Park is licensed to practice in New Jersey (license number 25MA04390700) and his current practice location is 775 Bloomfield Ave, Montclair, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 509-3401.
NPI number for Dr Chong H Park is 1457417180 and his current mailing address is 775 Bloomfield Ave, Montclair, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457417180.
Physician's Profile
| Full Name | Dr Chong H Park |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 775 Bloomfield Ave, Montclair, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457417180
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 03/29/2013
Medical Identifiers
Medical identifiers for Dr Chong H Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457417180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 25MA04390700 (New Jersey) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 25MA04390700 (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 Chong H 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 Chong H Park, MD, FRCS(US)
775 Bloomfield Ave,
Montclair, NJ 07042-1880
Ph: (973) 509-3401 | Dr Chong H Park, MD, FRCS(US)
775 Bloomfield Ave,
Montclair, NJ 07042-1880
Ph: (973) 509-3401 |
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