| Dr Chan Woo Park, MD | |
|
90 Bergen Street- Suite 8100, Department Of Otolaryngology, Doc Building, Newark, NJ 07103 | |
| (973) 972-4588 | |
| Not Available |
| Full Name | Dr Chan Woo Park |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 19 Years |
| Location | 90 Bergen Street- Suite 8100, Newark, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760644280 | NPI | - | NPPES |
| 1760644280 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD60287386 (Washington) | Secondary |
| 207Y00000X | Otolaryngology | 25MA09356100 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| The University Hospital | Newark, NJ | Hospital |
| Saint Barnabas Medical Center | Livingston, NJ | Hospital |
| Englewood Hospital And Medical Center | Englewood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Physician Associates Of New Jersey Inc | 9830003417 | 320 |
| Entity Name | University Physician Associates Of New Jersey Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639189236 PECOS PAC ID: 9830003417 Enrollment ID: O20040301000906 |
| Entity Name | Trinitas Physicians Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205189941 PECOS PAC ID: 6709002850 Enrollment ID: O20140725000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chan Woo Park, MD 90 Bergen Street- Suite 8100, Department Of Otolaryngology, Doc Building, Newark, NJ 07103 Ph: (973) 972-4588 | Dr Chan Woo Park, MD 90 Bergen Street- Suite 8100, Department Of Otolaryngology, Doc Building, Newark, NJ 07103 Ph: (973) 972-4588 |
Dr. Evelyne Kalyoussef, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street, Suite8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Dr. Yu-lan Mary Ying, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen Street Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 | |
Dr. Kevin Wong, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St Ste 8100, Newark, NJ 07103 Phone: 212-241-6500 | |
Roman Povolotskiy, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 90 Bergen St Ste 8100, Newark, NJ 07103 Phone: 973-972-2548 | |
Eric T Carniol, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-2548 | |
Dr. Jean Anderson Eloy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Suite 8100, Newark, NJ 07103 Phone: 973-972-4588 Fax: 973-972-3767 | |
Soly Baredes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 90 Bergen St, Doc-7200, Newark, NJ 07103 Phone: 973-972-2400 Fax: 973-972-2988 |