Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. MARK PARK
Active
Individual
DR. MARK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
060757
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
22DI02564200
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
300173
NY
Other
Enumeration date
03/06/2013
Last updated
10/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up