Dr Peter B Park, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Old Bridge, New Jersey. He went to State University Of New York Downstate Medical Center and graduated in 1994 and has 30 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Rwjbh Observation Associates Llc and his current practice location is
300 Perrine Rd, Suite 301, Old Bridge, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 727-8346.
Dr Peter B Park is licensed to practice in New Jersey (license number 25MA07085300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487609723.
Physician's Profile
Full Name | Dr Peter B Park |
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Gender | Male |
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Speciality | Interventional Radiology |
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Experience | 30 Years |
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Location | 300 Perrine Rd, Old Bridge, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Peter B Park attended and graduated from State University Of New York Downstate Medical Center in 1994
NPI Data:
- NPI Number: 1487609723
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 07/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 5193778231
- Enrollment ID: I20050311000015
Medical Identifiers
Medical identifiers for Dr Peter B Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487609723 | NPI | - | NPPES |
0001236 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 25MA07085300 (New Jersey) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 25MA07085300 (New Jersey) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Peter B Park allows following entities to bill medicare on his behalf.
Entity Name | Robert Wood Johnson Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902848625 PECOS PAC ID: 8628065117 Enrollment ID: O20040427001205 |
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Entity Name | Nbimc Department Of Radiology |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831236769 PECOS PAC ID: 5193821874 Enrollment ID: O20070427000034 |
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Entity Name | Garden State Healthcare Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
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Entity Name | Parkmed Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245514249 PECOS PAC ID: 2860657467 Enrollment ID: O20120705000382 |
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Entity Name | Rwjbh Observation Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760095806 PECOS PAC ID: 5193137503 Enrollment ID: O20201209000008 |
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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. Dr Peter B Park is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Peter B Park, MD 300 Perrine Rd, Suite 301, Old Bridge, NJ 08857-3627 Ph: (732) 727-8346 | Dr Peter B Park, MD 300 Perrine Rd, Suite 301, Old Bridge, NJ 08857-3627 Ph: (732) 727-8346 |
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