Dr Peter Park, MD | |
20 Prospect Ave Ste 901, Hackensack, NJ 07601-1974 | |
(551) 996-4777 | |
(551) 996-0800 |
Full Name | Dr Peter Park |
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Gender | Male |
Speciality | Surgery |
Location | 20 Prospect Ave Ste 901, Hackensack, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164800850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MT208732 (Pennsylvania) | Secondary |
208600000X | Surgery | 68994 (Connecticut) | Secondary |
208600000X | Surgery | 25MA11518300 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
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Dr Peter Park, MD 3600 Route 66 Fl 3, Neptune, NJ 07753-2645 Ph: (732) 807-0877 | Dr Peter Park, MD 20 Prospect Ave Ste 901, Hackensack, NJ 07601-1974 Ph: (551) 996-4777 |
Dr. Howard Jay Goldson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 Prospect Ave Ste 315, Hackensack, NJ 07601 Phone: 862-204-3461 | |
Dr. Adam Jonathan Kaye, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Ave Ste 501, Hackensack, NJ 07601 Phone: 551-996-4777 Fax: 551-996-0800 | |
Dr. David J O'connor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Essex St, Suite 102, Hackensack, NJ 07601 Phone: 201-487-8882 | |
Dr. Kari Lindsey Colen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Avenue, Suite 903, Hackensack, NJ 07601 Phone: 551-228-2208 Fax: 551-228-2210 | |
Dr. Kristin Cook, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Essex St Ste 102, Hackensack, NJ 07601 Phone: 201-487-2144 | |
Dr. Salvatore J Forcina, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 810 Main St, Hackensack, NJ 07601 Phone: 201-488-2666 Fax: 201-488-1655 | |
Dr. Sanjeev Kaul, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Summit Ave, Suite 105, Hackensack, NJ 07601 Phone: 201-996-2900 |