JIN S. PARK M.D. – NPI #1902842057
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
JIN PARK is a physician located in BRICK, NJ. NPPES has assigned the NPI number 1902842057 to JIN PARK on June 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was previously updated about 12 years ago on Oct 02, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIN PARK below.
NPI Profile for
JIN S. PARK
(about 20 years ago)
SUITE D-1
BRICK, NJ 08724-7771 Phone: (732) 458-5067 Fax: (732) 458-4962
Identifiers for JIN PARK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | RAILROAD MEDCARE NUMBER | 390003662 | |
| MEDICAID | NJ | 2961601 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
NJ | 34848 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JIN PARK is affiliated with the following medical group(s):
- HOSPITAL
- COMMUNITY MEDICAL CENTER99 RT 37 WEST
TOMS RIVER, NJ 08755 - MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS600 RIVER AVE
LAKEWOOD, NJ 08701 - SOUTHERN OCEAN MEDICAL CENTER1140 RT 72 W
MANAHAWKIN, NJ 08050
- COMMUNITY MEDICAL CENTER99 RT 37 WEST
- DIALYSIS FACILITY
- FMC JOHN J DE PALMA RENAL CENTER2A Plaza Drive
Toms River, NJ 08757 - FMC LAKEWOOD DIALYSISSeagull Shopping Plaza
LAKEWOOD, NJ 08701
- FMC JOHN J DE PALMA RENAL CENTER2A Plaza Drive
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