DR. JANE PARK (NPI# 1700939956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700939956 |
| Entity Type | Individual |
| Full Name | DR. JANE PARK |
| Credential | M.D. |
| Practice Address |
478 Brick Blvd Brick NJ 08723-6077 |
| Practice Telephone | 7327014848 |
| Practice Fax Number | 7327011244 |
| Mailing Telephone | 7327014848 |
| Mailing Fax Number | 7327011244 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD434270 | PA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | MD434270 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 02188022 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974122 | Jane Gerke Park | Internal Medicine | 1002 Sushruta Dr, Martinsburg, WV 25401-8897 | 2006-03-07 |
| 1790267722 | Jane Chung Park | Marriage & Family Therapist | 3727 W 6th St Ste 320, Los Angeles, CA 90020-5108 | 2018-09-06 |
| 1447741368 | Jane Park | Student in an Organized Health Care Education/Training Program | 376 Seguine Ave, Staten Island, NY 10309-3942 | 2018-05-25 |
| 1104323047 | Jane Park | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-04-08 |
| 1528448131 | Jane Park | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2015-06-09 |
| 1194125757 | Jane Park | Pharmacist | 1739 S Victoria Ave, Ventura, CA 93003-6503 | 2014-09-01 |
| 1700211893 | Jane S Park | Pharmacist | 35 Kensico Rd, Walgreens, Thornwood, NY 10594-1143 | 2013-09-07 |
| 1447699327 | Jane Haejin Park | Marriage & Family Therapist | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2013-06-24 |
| 1790129898 | Jane J Park | Internal Medicine | 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 | 2013-04-19 |
| 1134461411 | Jane Park | Student in an Organized Health Care Education/Training Program | 2351 Clay St, Suite 380, San Francisco, CA 94115-1931 | 2013-03-25 |
| Street Address |
478 BRICK BLVD |
| City | BRICK |
| State | NJ |
| Zip Code | 08723-6077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053330647 | Jonathan P Yrad | Emergency Medicine | 478 Brick Blvd, Brick, NJ 08723-6077 | 2006-07-18 |
| 1033773833 | Samantha Bangs | Physician Assistant | 478 Brick Blvd, Brick, NJ 08723-6077 | 2019-04-26 |
| 1346776697 | Yehuda Naiman | Physician Assistant | 478 Brick Blvd, Brick, NJ 08723-6077 | 2017-05-05 |
| 1427312016 | Christopher Philip Buchholz | Surgery | 478 Brick Blvd, Brick, NJ 08723-6077 | 2012-06-27 |
| 1609154640 | Omar Zikri Ahmed | Surgery | 478 Brick Blvd, Brick, NJ 08723-6077 | 2011-07-25 |
| 1609161322 | Rory B Snepar | Surgery | 478 Brick Blvd, Brick, NJ 08723-6077 | 2011-06-10 |
| 1568781573 | Anil K Pahuja | Surgery | 478 Brick Blvd, Brick, NJ 08723-6077 | 2010-06-01 |
| 1831343045 | Eugene Zurkovsky | Surgery | 478 Brick Blvd, Brick, NJ 08723-6077 | 2008-11-14 |
| 1295984300 | Abha Ojha Kathuria | Surgery | 478 Brick Blvd, Brick, NJ 08723-6077 | 2008-09-12 |
| 1205034816 | Ocean Surgical & Oncology Associates, P.c | Surgery | 478 Brick Blvd, Brick, NJ 08723-6077 | 2007-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982179875 | Enable, Inc. | Residential Treatment Facility, Physical Disabilities | 481 Herbertsville Road, Brick, NJ 08723 | 2018-10-08 |
| 1689154585 | Erica Beckenhauer | Physical Therapist | 909 Cedarbridge Avenue, Brick, NJ 08723 | 2018-08-20 |
| 1578059283 | Bricktowne Pharmacy LLC | Pharmacy | 101 Prosper Way, Unit C, Brick, NJ 08723 | 2018-07-05 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1548786445 | Apmr Chiropractic | Chiropractor | 56 Chambers Bridge Road, Brick, NJ 08723 | 2017-08-22 |
| 1972050441 | Donna Francese | Counselor | 104 Teakwood Drive, Brick, NJ 08723 | 2016-09-01 |
| 1780130377 | Eastern Dental of Ocean/monmouth, LLC | Dentist | 2770 Hooper Ave., Unit 4, Brick, NJ 08723 | 2016-09-01 |
| 1073066700 | Garden State Smiles of Brick | Dentist | 525 Route 70 E, Suite 1a, Brick, NJ 08723 | 2016-07-29 |
| Find all providers in zip 08723 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497728281 | Rolando Posadas Villanueva | Colon & Rectal Surgery | 525 Highway 70, Brick, NJ 08723-4022 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184911356 | Matthew David Huk | Colon & Rectal Surgery | 435 South St Ste 360, Morristown, NJ 07960-6479 | 2011-07-07 |
| 1598055824 | Gregory J Gallina Md PC | Colon & Rectal Surgery | 255 West Spring Valley Ave., # 103, Maywood, NJ 07607-1444 | 2011-04-07 |
| 1083829840 | Raymond Frederick Crystal | Colon & Rectal Surgery | 325 Long Hill Dr, Short Hills, NJ 07078-1530 | 2007-05-14 |
| 1932260015 | Ralph B Korkor | Colon & Rectal Surgery | 994 White Horse Ave, Hamilton Medical Building, Hamilton, NJ 08610-1428 | 2006-12-13 |
| 1952477986 | Debra R Tarantino | Colon & Rectal Surgery | 231 Millburn Avenue, Millburn, NJ 07041-1718 | 2006-11-28 |
| 1801909007 | Ocean Colon and Rectal Surgery, P.a. | Colon & Rectal Surgery | 1163 Route 37 W Ste D2, Toms River, NJ 08755-4975 | 2006-08-15 |
| 1609892231 | Barash-white, Md, Pa | Colon & Rectal Surgery | 216 Engle St. #203, Englewood, NJ 07631 | 2006-07-15 |
| 1871539858 | Daniel Lee Sadler | Colon & Rectal Surgery | 704 Route 202 South, Bridgewater, NJ 08807 | 2006-06-20 |
| 1659315760 | Robert Eng Hong Khoo | Colon & Rectal Surgery | 44 Nautilus Dr Ste 201, Manahawkin, NJ 08050-2466 | 2006-06-16 |
| 1447217427 | Alfred Francis Wolkomir | Colon & Rectal Surgery | 205 Maple Ave, Red Bank, NJ 07701-1727 | 2006-04-26 |
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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.