DR. JIN-SIR PARK (NPI# 1730364068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730364068 |
| Entity Type | Individual |
| Full Name | DR. JIN-SIR PARK |
| Credential | D.D.S |
| Practice Address |
254b Mountain Ave Suite 206 Hackettstown NJ 07840-2413 |
| Practice Telephone | 9088506300 |
| Practice Fax Number | 9088506399 |
| Mailing Telephone | 9088506300 |
| Mailing Fax Number | 9088506399 |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2009-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
22DI02177900 | NJ | Dental Providers |
| Street Address |
254B MOUNTAIN AVE SUITE 206 |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721165 | Jeffrey Merkle | Internal Medicine | 254b Mountain Ave, Suite 304, Hackettstown, NJ 07840-2413 | 2005-09-26 |
| 1558982983 | Leonard A Feitell Md LLC | Internal Medicine | 254b Mountain Ave, Hackettstown, NJ 07840-2413 | 2020-04-27 |
| 1730641481 | Margarget Zepka | Counselor | 254b Mountain Ave, Hackettstown, NJ 07840-2413 | 2019-04-02 |
| 1699207209 | Kathleen Marie Hughes | Counselor | 254b Mountain Ave, 202, Hackettstown, NJ 07840-2413 | 2017-04-02 |
| 1437692308 | Olga Debrin | Physician Assistant | 254b Mountain Ave, Suite 201, Hackettstown, NJ 07840-2413 | 2016-11-28 |
| 1881142883 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 254b Mountain Ave, #303, Hackettstown, NJ 07840-2413 | 2016-09-19 |
| 1770957359 | Maureen Ghali | Counselor | 254b Mountain Ave, Suite 202, Hackettstown, NJ 07840-2413 | 2015-11-19 |
| 1861871873 | Psychological Associates of North Jersey | Counselor | 254b Mountain Ave, Suite 202, Hackettstown, NJ 07840-2413 | 2015-05-22 |
| 1316344013 | Rebekah Hazekamp | Counselor | 254b Mountain Ave, Suite 202, Hackettstown, NJ 07840-2413 | 2014-11-24 |
| 1215345822 | Priscilla T Ngo | Registered Nurse | 254b Mountain Ave, Suite 304, Hackettstown, NJ 07840-2413 | 2014-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1184276990 | Abc Family Smiles LLC | Dentist | 252 Madison Ave Ste 106, Perth Amboy, NJ 08861-4314 | 2019-07-11 |
| 1235638347 | Essex Endodontics PC | Dentist | 460 Bloomfield Ave Ste 311, Montclair, NJ 07042-3552 | 2018-02-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1366964017 | Sussex County Endodontics, PC | Dentist | 63 Newton Sparta Rd Ste 201, Newton, NJ 07860-2815 | 2017-07-14 |
| 1477916724 | Shayna Nicole Whiteman | Dentist | 141 Us Highway 46 Lowr Level, Rockaway, NJ 07866-4018 | 2016-04-04 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1366870198 | Sudharani Bodepudi | Dentist | 354 Lunar Rd, Piscataway, NJ 08854-5469 | 2013-10-14 |
| 1558700195 | Batastini Orthodontics, PC | Dentist | 69 Haddonfield - Berlin Road, Cherry Hill, NJ 08034 | 2013-06-17 |
| 1659612158 | Atlantic Endodontics LLC | Dentist | 235 E. Jimmie Leeds Road, Galloway, NJ 08205 | 2013-03-07 |
| Find all providers with the same taxonomy | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
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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.