DR. PAUL PARK (NPI# 1821417668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821417668 |
| Entity Type | Individual |
| Full Name | DR. PAUL PARK |
| Credential | PSY.D. |
| Practice Address |
170 Frelinghuysen Rd Piscataway NJ 08854-8020 |
| Practice Telephone | 8484456002 |
| Practice Fax Number | 7324450127 |
| Mailing Telephone | 8484456002 |
| Mailing Fax Number | 7324450127 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 020500 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5326 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1316180037 | Paul Park | Internal Medicine | Box 3951 Or Trent Drive - Dumc, Gme Office, Rm 139-green Zone, Durham, NC 27710 | 2009-04-10 |
| 1083670152 | Paul W. Park | Ophthalmology | 4278 W 3rd St, Los Angeles, CA 90020-3449 | 2006-04-26 |
| 1801434360 | Paul Park IIi | Physical Therapist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-12-16 |
| 1306491261 | Paul J Park | Dentist | 3145 Garden Ave, Building 1278, San Antonio, TX 78234 | 2019-08-07 |
| 1629537964 | Paul Park | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2019-03-17 |
| 1508339094 | Paul Park | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-01-07 |
| 1932616034 | Paul Park | Marriage & Family Therapist | 6301 Beach Blvd Ste 245, Buena Park, CA 90621-4031 | 2018-01-10 |
| 1386195980 | Paul Park | Acupuncturist | 6954 Vaughn Rd, Montgomery, AL 36116-1368 | 2016-10-18 |
| 1679927206 | Paul Park | Internal Medicine | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2016-04-20 |
| Street Address |
170 FRELINGHUYSEN RD |
| City | PISCATAWAY |
| State | NJ |
| Zip Code | 08854-8020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530313 | Connie T Chuang | Internal Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2005-07-05 |
| 1578000519 | Boris Kholdarov | Preventive Medicine | 170 Frelinghuysen Rd, Room 212, Piscataway, NJ 08854-8020 | 2017-01-29 |
| 1205132669 | Sonia Chatterjee | Family Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2011-02-02 |
| 1295065803 | Environmental and Occupational Health Science Institute. | Clinic/Center | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2010-01-04 |
| 1760652440 | Francine S. Katz | Preventive Medicine | 170 Frelinghuysen Rd, Umdnj Rwj Medical School, Piscataway, NJ 08854-8020 | 2008-03-10 |
| 1689855769 | Michael Elwood Pratt | Emergency Medicine | 170 Frelinghuysen Rd, Clinical Research and Occupational Medicine Division, Piscataway, NJ 08854-8020 | 2007-11-17 |
| 1295914430 | Michelle Williams Robertson | Family Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2007-10-24 |
| 1871716803 | Robert J. Laumbach | Preventive Medicine | 170 Frelinghuysen Rd, Environmental & Occupational Health Sciences Institute, Piscataway, NJ 08854-8020 | 2007-04-10 |
| 1629114913 | Iris G. Udasin | Preventive Medicine | 170 Frelinghuysen Rd, Environmental & Occupational Health Sciences Institute, Piscataway, NJ 08854-8020 | 2007-01-30 |
| 1083768360 | Michael Gochfeld | Preventive Medicine | 170 Frelinghuysen Rd, Eohsi Rm 200, Piscataway, NJ 08854-8020 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327548 | Sally Ng | Student in an Organized Health Care Education/Training Program | 675 Hoes Lane West, Piscataway, NJ 08854 | 2020-05-16 |
| 1932728870 | Mawaddah Ahmed Mohamed Khalil Alislambouli | Student in an Organized Health Care Education/Training Program | 1701 Quincy Street, Piscataway, NJ 08854 | 2020-04-10 |
| 1457831273 | Lindsay Brooke Gonzalez | Social Worker | Rutgers Day School- Rutgers University Ubhc, 671 Hoes Lane, Piscataway, NJ 08854 | 2018-08-21 |
| 1568941524 | Step Three Support Services, LLC | In Home Supportive Care | 1297 Centennial Ave Ste 5-102, Piscataway, NJ 08854 | 2018-08-10 |
| 1942788252 | Adrienne Wallace | Speech-Language Pathologist | 170 Birchview Dr, Piscataway, NJ 08854 | 2018-07-31 |
| 1215423066 | Eugene Reid | Physical Medicine & Rehabilitation | 250 Old New Brunswick Road, Building 12, Piscataway Township, NJ 08854 | 2018-07-05 |
| 1649768326 | Madhusree Chowdhury | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, 675 Hoes Lane, Piscataway, NJ 08854 | 2018-04-27 |
| 1033635065 | Achieving Goals, LLC | Community Health Worker | 83 Kensington Drive, Piscataway, NJ 08854 | 2017-08-22 |
| 1750801650 | Neil O'connor | Case Manager/Care Coordinator | 151 Centenial Ave, Piscataway, NJ 08854 | 2017-06-21 |
| 1235680240 | Manthan Patel | Pharmacist | 1222 Hanover St, Piscataway, NJ 08854 | 2016-10-14 |
| Find all providers in zip 08854 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336612266 | Jeffrey Duke Shahidullah | Psychologist | 152 Frelinghuysen Rd Ofc A353, Piscataway, NJ 08854-8020 | 2019-01-03 |
| 1477603942 | Karen Grose Way | Psychologist | 38 Juniper Ln, Piscataway, NJ 08854-5632 | 2007-01-10 |
| 1154488658 | Peak Psychological Services PC | Psychologist | 5 Birch Run Dr, Piscataway, NJ 08854-2122 | 2007-01-03 |
| 1316004336 | Barbara Jean Menzel | Psychologist | 8 Suttie Ave, Piscataway, NJ 08854-4200 | 2007-01-02 |
| 1760906317 | Jamye Victoria Shelton Pelosi | Psychologist | 1 Scarlet Knight Way, Rutgers University Hale Center, Piscataway, NJ 08854 | 2017-07-26 |
| 1184859837 | Maria Katsamanis | Psychologist | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2009-05-26 |
| 1336296904 | Renee Troiano | Psychologist | 206 Elizabeth Ave, Piscataway, NJ 08854-4407 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980371 | Eric Rose | Psychologist | 53 Audubon Rd, Teaneck, NJ 07666-5526 | 2020-10-23 |
| 1629682687 | Cbt Center of Central Nj | Psychologist | 16 Pearl Street, Suite 101 Cbt Center of Central Nj LLC, Metuchen, NJ 08840 | 2020-09-06 |
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1659980944 | Lisa Spatafore | Psychologist | 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 | 2020-07-23 |
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1952927634 | Gordon Presley | Psychologist | 317 George St. Suite 320, New Brunswick, NJ 08901-2091 | 2020-06-18 |
| 1659996692 | Thrive Psychology Center, LLC | Psychologist | 699 Cross St Ste 110, Lakewood, NJ 08701-4681 | 2020-06-16 |
| 1871117499 | Haven Psychotherapy LLC | Psychologist | 25 Terrell Rd, Lambertville, NJ 08530-3428 | 2020-05-29 |
| 1447873781 | Elements Psychological Services, LLC | Psychologist | 36 Cottage Ln, Upper Saddle River, NJ 07458-1306 | 2020-05-21 |
| 1285255398 | Amanda Addolorato Macdonald | Psychologist | 12 2nd St, Hackensack, NJ 07601-2009 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | PISCATAWAY |
| Zip Code | 08854 |
Please comment or provide details below to improve the information on DR. PAUL PARK.
| 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.