DR. KENNETH H PARK (NPI# 1609881978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609881978 |
| Entity Type | Individual |
| Full Name | DR. KENNETH H PARK |
| Credential | DO |
| Practice Address |
680 Kinderkamack Rd Suite 207 Oradell NJ 07649-1600 |
| Practice Telephone | 2014877246 |
| Practice Fax Number | 2014877246 |
| Mailing Telephone | 2014877246 |
| Mailing Fax Number | 2012250207 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MB08263300 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194973768 | Kenneth Park | Physician Assistant | 1300 Copperfield Ave Ste 3060, Joliet, IL 60432-2009 | 2008-09-08 |
| 1457392912 | Kenneth Park | Psychologist | 137 Newbury St, 6th Floor, Boston, MA 02116-2912 | 2006-06-08 |
| 1114928801 | Kenneth William Park | Family Medicine | 125 Carlisle Ct, Cary, IL 60013-1908 | 2005-08-03 |
| 1255768974 | Kenneth Park | Social Worker | 2372 Sterling Ave, San Bernardino, CA 92404-4624 | 2013-09-27 |
| 1457643215 | Kenneth J Park | Obstetrics & Gynecology | 2 W Fern Ave, Redlands, CA 92373 | 2011-05-11 |
| 1245522739 | Kenneth Hyunsoo Park | Internal Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2011-05-03 |
| 1881895316 | Kenneth Park | Orthopaedic Surgery | 5215 Torrance Blvd Ste 210, Torrance, CA 90503-4009 | 2007-05-31 |
| Street Address |
680 KINDERKAMACK RD SUITE 207 |
| City | ORADELL |
| State | NJ |
| Zip Code | 07649-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922092121 | Daniel J Wilkin | Family Medicine | 680 Kinderkamack Rd, Suite 205, Oradell, NJ 07649-1600 | 2005-09-02 |
| 1568076297 | Brittany Steindl | Physical Therapist | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2020-09-01 |
| 1952865271 | Megan Gooding | Physician Assistant | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2019-01-31 |
| 1619452513 | Gabriela Krebs | Nurse Practitioner | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2018-09-27 |
| 1932681848 | Sixth Borough Medical LLC | Physical Medicine & Rehabilitation | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2018-09-06 |
| 1093234817 | Paul C Hashagen | Physician Assistant | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2017-09-13 |
| 1245773415 | Hudson Transportation | Ambulance | 680 Kinderkamack Rd, Suite 101, Oradell, NJ 07649-1600 | 2016-11-21 |
| 1588114805 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2016-10-11 |
| 1285183749 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2016-09-26 |
| 1477917268 | Mcr Surgical | Specialist | 680 Kinderkamack Rd, Oradell, NJ 07649-1600 | 2016-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336598523 | Frances M Merz | Counselor | 456 Kinderkamack Rd, 21 F, Oradell, NJ 07649 | 2016-06-08 |
| 1144678863 | Another Perspective Counseling Services, LLC | Community/Behavioral Health | 456 Kinderkamack Rd, 21f, Oradell, NJ 07649 | 2016-06-03 |
| 1174874150 | Billie A Hagen | Specialist | 618 Veldran Ave, Oradell, NJ 07649 | 2012-10-01 |
| 1861780736 | Urmi Pranay Vaidya-mathur | Social Worker | 660 Kinderkamack Rd #205, Oradell, NJ 07649 | 2011-07-13 |
| 1801119896 | Personal Solutions, LLC | Social Worker | 297 Kinderkamack Road, Suite 212, Oradell, NJ 07649 | 2010-03-05 |
| 1437302015 | Lillian Paredes | Pathology | 838 Hennigar Place, Oradell, NJ 07649 | 2008-10-28 |
| 1679786370 | Mahmood M Zaitr | Dentist | 659 East Dr, Oradell, NJ 07649 | 2007-05-08 |
| 1235341009 | Victoria Ann Voskian | Dentist | 716 Soldier Hill Road, Oradell, NJ 07649 | 2007-05-04 |
| 1548308018 | Nicholas Ignazzi Sr. | Pharmacist | 223 Kinderkamack Road, Oradell, NJ 07649 | 2007-02-04 |
| 1477636348 | Guy Ernest Siraki | Chiropractor | 4 Marggraff Court, Oradell, NJ 07649 | 2006-10-23 |
| Find all providers in zip 07649 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.