Kenneth Park, DACM is a
Acupuncturist based in Union, New Jersey. Kenneth Park is licensed to practice in New Jersey (license number 25NZ00137300) and his current practice location is
418 Chestnut St, Union, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 424-4263.
NPI number for Kenneth Park is 1306552195 and his current mailing address is 418 Chestnut St, Union, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306552195.
Healthcare Provider's Profile
| Full Name | Kenneth Park |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 418 Chestnut St, Union, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306552195
- Provider Enumeration Date: 01/25/2023
- Last Update Date: 02/26/2026
Medical Identifiers
Medical identifiers for Kenneth Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306552195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 25NZ00137300 (New Jersey) | Primary |
| 171100000X | Acupuncturist | 005964 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Park, DACM
418 Chestnut St,
Union, NJ 07083-9306
Ph: (201) 424-4263 | Kenneth Park, DACM
418 Chestnut St,
Union, NJ 07083-9306
Ph: (201) 424-4263 |
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