Ji Hae Park, MD is a medicare enrolled "Urology" physician in Palisades Park, New Jersey. Her current practice location is
500 1st St, Palisades Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 240-8599.
Ji Hae Park is licensed to practice in New Jersey (license number P06084010062881) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205298007.
Physician's Profile
Full Name | Ji Hae Park |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 500 1st St, Palisades Park, New Jersey |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ji Hae Park attended and graduated from in
NPI Data:
- NPI Number: 1205298007
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 03/22/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ji Hae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205298007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | P06084010062881 (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. Ji Hae Park is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ji Hae Park, MD 500 1st St, Palisades Park, NJ 07650-2662 Ph: () - | Ji Hae Park, MD 500 1st St, Palisades Park, NJ 07650-2662 Ph: (201) 240-8599 |
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