MRS. SUN JA PARK (NPI# 1992056311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992056311 |
| Entity Type | Individual |
| Full Name | MRS. SUN JA PARK |
| Credential | MSRD |
| Practice Address |
1435 Liberty St Hamilton NJ 08629-2220 |
| Practice Telephone | 6095995433 |
| Practice Fax Number | 6094754661 |
| Mailing Telephone | 6095995433 |
| Mailing Fax Number | 6094754661 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0169129 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
| 1942771415 | Sun Park | Nurse Practitioner | 1847 Hawk Ln, Elk Grove Village, IL 60007-6906 | 2018-12-10 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1134139397 | Sun Kun Park | Dentist | 1223 Annapolis Rd Ste A, Odenton, MD 21113-1328 | 2006-08-09 |
| 1992737548 | Sun Park | Psychiatry & Neurology | 26184 W. Outer Dr, Lincoln Park, MI 48146-2084 | 2006-07-06 |
| 1043213663 | Sun Woo Park | Pediatrics | 88 Fort Couch Rd, Bethel Park, PA 15241-1837 | 2005-05-27 |
| 1689210049 | Sun Park | Occupational Therapist | 5100 Fillmore Ave, Alexandria, VA 22311-5069 | 2019-11-20 |
| 1801326152 | Sun H Park | Chiropractor | 845 Broad Ave, Ridgefield, NJ 07657-1002 | 2017-06-19 |
| 1316224207 | Sun Young Park | Dentist | 102 Elden St, Ste #17, Herndon, VA 20170-4868 | 2011-11-07 |
| 1457632994 | Sun H. Park | Dentist | 11316 76th Rd, 1f, Forest Hills, NY 11375-7236 | 2011-08-29 |
| Street Address |
1435 LIBERTY ST |
| City | HAMILTON |
| State | NJ |
| Zip Code | 08629-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588939169 | Barbara Weiner | Specialist | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-03-15 |
| 1013318864 | Tanneh Paulenna Agboola | Nurse Practitioner | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2014-09-11 |
| 1871844985 | Nicole Maree Robinson | Social Worker | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-28 |
| 1215288394 | Melissa Weisel | Social Worker | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-28 |
| 1730430828 | Bethany Susan Degeorge | Social Worker | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-28 |
| 1568719946 | Erinn O'connor-stover | Physical Therapist | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-08-05 |
| 1992051601 | Lee Ann Folk | Occupational Therapist | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568545200 | Ivan David Popkin | Dentist | 521 South Olden Avenue, Trenton, NJ 08629 | 2006-10-24 |
| 1962427922 | Nahid Memon | Internal Medicine | 735 Hamilton Ave, Hamilton Hospitalists, Trenton, NJ 08629 | 2006-07-12 |
| 1528610953 | Pravin Thomas | Student in an Organized Health Care Education/Training Program | St Francis Medical Center, 601 Hamilton Ave., Trenton, Nj 08629, Trenton, NJ 08629 | 2019-07-16 |
| 1710496799 | Lisa Marie Grine | Nurse Practitioner | 601 Hamilton Ave, Trenton, NJ 08629 | 2017-09-22 |
| 1699221309 | Naresh Kumar | Student in an Organized Health Care Education/Training Program | 601 Hamilton Avenue, St. Francis Medical Center, Trenton, NJ 08629 | 2016-09-01 |
| 1306298377 | Muhammad Shabbir Ijaz | Emergency Medicine | 601 Hamilton Ave, Trenton, NJ 08629 | 2016-07-01 |
| 1962829390 | Sylwia Sasinowska | Student in an Organized Health Care Education/Training Program | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| 1023435450 | Samridhi Amba | Internal Medicine | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| 1386061729 | Waqas Javed Siddiqui | Student in an Organized Health Care Education/Training Program | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| 1245657683 | Neeharika Mettupalli | Internal Medicine | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| Find all providers in zip 08629 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786955 | Candice M Vossler | Dietitian, Registered | 24 Pinedale Ct, Hamilton, NJ 08690-3315 | 2020-10-01 |
| 1831711282 | Emily Holdorf | Dietitian, Registered | 1483 River Rd, Hamilton, NY 13346-2621 | 2020-05-08 |
| 1285117077 | Michelle Landstrom | Dietitian, Registered | 50 University Ave, Hamilton, NY 13346-1326 | 2018-09-08 |
| 1659621266 | Krista Marie Lindley | Dietitian, Registered | 400 N Brown Avenue, Hamilton, TX 76531 | 2012-09-12 |
| 1023628955 | Adrienne Clark | Dietitian, Registered | 1200 Westwood Dr, Hamilton, MT 59840-2345 | 2020-08-05 |
| 1487130332 | Janelle Campbell | Dietitian, Registered | 1200 Westwood Dr, Hamilton, MT 59840-2345 | 2018-07-13 |
| 1770950958 | Jennifer Pate | Dietitian, Registered | 150 High St, Suite B, Hamilton, OH 45011-2725 | 2015-08-24 |
| 1184027930 | Pamela West | Dietitian, Registered | 150 Broad St, Hamilton, NY 13346-9575 | 2014-10-07 |
| 1003243122 | Cassara Consulting | Dietitian, Registered | 1345 Kuser Rd, Suite 5, Hamilton, NJ 08619-3823 | 2013-10-03 |
| 1891121000 | Nicole Kristin Pillitteri | Dietitian, Registered | 1345 Kuser Rd, Suite 5, Hamilton, NJ 08619-3823 | 2013-09-19 |
| Find all providers in HAMILTON | ||||
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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.