DR. CHARLES W. PARK (NPI# 1629179411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629179411 |
| Entity Type | Individual |
| Full Name | DR. CHARLES W. PARK |
| Credential | M.D. |
| Practice Address |
405 Northfield Ave Suite 204 West Orange NJ 07052-3026 |
| Practice Telephone | 9733256120 |
| Practice Fax Number | 9733256126 |
| Mailing Telephone | 9733256120 |
| Mailing Fax Number | 9733256126 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
25MA07374100 | NJ | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA07374100 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865499 | Charles C Park | Dentist | 1518 E Lincoln Ave, Orange, CA 92865-1928 | 2006-11-09 |
| 1639140023 | Charles Hee Yong Park | Dentist | 4290 Chain Bridge Rd Ste 202, Fairfax, VA 22030-8158 | 2006-02-01 |
| 1972704096 | Charles Park | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2007-05-29 |
| 1235214131 | Charles Keyu Park | Psychiatry & Neurology | 8158 E 5th Ave, Suite 200, Denver, CO 80230-6444 | 2006-10-26 |
| 1669408571 | Charles Park | Anesthesiology | 7300 Medical Center Dr, West Hills, CA 91307-1902 | 2006-06-23 |
| 1861438517 | Charles C Park | Neurological Surgery | 301 St. Paul Place, Pob # 310, Baltimore, MD 21202 | 2006-06-21 |
| 1215928072 | Charles Park | Physician Assistant | 150 Sargent Dr, Suite 1, New Haven, CT 06511-6100 | 2005-11-02 |
| Street Address |
405 NORTHFIELD AVE SUITE 204 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649251208 | Rohini Fernandes | Dentist | 405 Northfield Ave, Suite Ll4, West Orange, NJ 07052-3026 | 2005-11-10 |
| 1952863490 | R-health Primary Care Medical Home LLC | Clinic/Center | 405 Northfield Ave, West Orange, NJ 07052-3026 | 2019-04-03 |
| 1073045233 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 405 Northfield Ave, Suite Ll1, West Orange, NJ 07052-3026 | 2017-03-28 |
| 1871036210 | Guiding Hands Home Health Agency LLC | Home Health | 405 Northfield Ave, Suite 201, West Orange, NJ 07052-3026 | 2016-12-01 |
| 1124335047 | Cypress Health Institute of New Jersey | Clinic/Center | 405 Northfield Ave, Suite 205, West Orange, NJ 07052-3026 | 2010-09-13 |
| 1174852644 | Meenakshi Jetley | Dentist | 405 Northfield Ave, Suite #ll4, West Orange, NJ 07052-3023 | 2009-12-13 |
| 1801042478 | Suet Y. Lim | Occupational Therapist | 405 Northfield Ave, Suite #ll1, West Orange, NJ 07052-3026 | 2008-08-14 |
| 1679769509 | Alan Langsner, Md PC | Pediatrics | 405 Northfield Ave, West Orange, NJ 07052-3026 | 2007-09-25 |
| 1225230261 | Affiliated Eye Surgeons Northern New Jersey P A | Ophthalmology | 405 Northfield Ave, Suite 206, West Orange, NJ 07052-3026 | 2007-06-01 |
| 1700986189 | Associates In Psychiatry of North Jersey, LLC | Counselor | 405 Northfield Ave, Suite 204, West Orange, NJ 07052-3026 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073052130 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 67 Burnett Ter, West Orange, NJ 07052-3726 | 2017-02-21 |
| 1538485933 | Roy Waldman | Psychiatry & Neurology | 52 Sullivan Dr, West Orange, NJ 07052-2259 | 2010-04-12 |
| 1457595118 | Emily Anne Urbina | Psychiatry & Neurology | 115 Old Short Hills Rd Apt 374, West Orange, NJ 07052-1040 | 2009-04-25 |
| 1770707986 | Amit P Kurani | Psychiatry & Neurology | 37 Buckingham Rd, West Orange, NJ 07052-2703 | 2007-04-12 |
| 1285705962 | Donald D Scalea | Psychiatry & Neurology | 100 Northfield Ave, West Orange, NJ 07052-4702 | 2006-11-13 |
| 1710037593 | Farida Iqbal-hussain | Psychiatry & Neurology | 136 Main St, West Orange, NJ 07052-5605 | 2007-01-12 |
| 1831259282 | Yeshuschandra R Dhaibar | Psychiatry & Neurology | 622 Eagle Rock Ave, West Orange, NJ 07052-2994 | 2006-12-08 |
| 1063512457 | Michael Cannella | Psychiatry & Neurology | 405 Northfield Avenue, Suite 204, West Orange, NJ 07052-1104 | 2006-09-25 |
| 1598865982 | Nirmal Sathaye | Psychiatry & Neurology | 405 Northfield Ave, Suite 204, West Orange, NJ 07052-3026 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060580 | Neuropsychiatric Consultants PC | Psychiatry & Neurology | 489 Clifton Ave, Clifton, NJ 07011-3227 | 2020-10-12 |
| 1396354130 | Dignipsych Health Services | Psychiatry & Neurology | 1951 N Black Horse Pike, Williamstown, NJ 08094-3465 | 2020-07-28 |
| 1790309862 | Success Tms Professional Services New Jersey LLC | Psychiatry & Neurology | 240 Frisch Ct Ste 101, Paramus, NJ 07652-5249 | 2020-06-03 |
| 1851912596 | Labyrinth Psychiatry Group LLC | Psychiatry & Neurology | 1503 Saint Georges Ave Ste 201, Colonia, NJ 07067-3427 | 2020-05-05 |
| 1740829167 | Medical Psychiatric Associates LLC | Psychiatry & Neurology | 116 Village Blvd Ste 200, Princeton, NJ 08540-5700 | 2020-01-02 |
| 1003453986 | Genpsych Flemington | Psychiatry & Neurology | 200 Route 31 Ste 104, Flemington, NJ 08822-5812 | 2019-12-10 |
| 1730725052 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 91 S Jefferson Rd Ste 301, Whippany, NJ 07981-1037 | 2019-11-21 |
| 1205471042 | Yang Tms Center of New Jersey | Psychiatry & Neurology | 999 Route 73 N Ste 200a, Marlton, NJ 08053-1227 | 2019-11-15 |
| 1942868641 | Brightmindsmd LLC | Psychiatry & Neurology | 123 South Ave E, Westfield, NJ 07090-1454 | 2019-05-29 |
| 1699238741 | Comprehensive Behavioral Health Medicine | Psychiatry & Neurology | 121 Mountain Ct Ste 114, Hackettstown, NJ 07840-2317 | 2019-04-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.