Palisades Park Pain & Rehabilitation Medicine, PA
NPI 1063647980 · Nephrology Physician · Ridgefield, NJ
Palisades Park Pain & Rehabilitation Medicine, PA is a Nephrology Physician organization in Ridgefield, NJ (NPI 1063647980).
Provider details
- NPI number
- 1063647980
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wonil Park, President(201) 944-1124
- License
- MA58515 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2020-05-07
- Certified
- 2020-05-07
Frequently asked questions
- What is Palisades Park Pain & Rehabilitation Medicine, PA's NPI number?
- Palisades Park Pain & Rehabilitation Medicine, PA's National Provider Identifier (NPI) is 1063647980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palisades Park Pain & Rehabilitation Medicine, PA?
- Palisades Park Pain & Rehabilitation Medicine, PA is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Palisades Park Pain & Rehabilitation Medicine, PA located?
- Palisades Park Pain & Rehabilitation Medicine, PA's practice location on file with NPPES is 784 Grand Ave Ste 301, Ridgefield, NJ 07657-1043.
- What is Palisades Park Pain & Rehabilitation Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for Palisades Park Pain & Rehabilitation Medicine, PA is (201) 944-1124.
- Who is the authorized official for Palisades Park Pain & Rehabilitation Medicine, PA?
- The authorized official listed on Palisades Park Pain & Rehabilitation Medicine, PA's NPPES record is Wonil Park, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palisades Park Pain & Rehabilitation Medicine, PA's NPI active?
- Yes — Palisades Park Pain & Rehabilitation Medicine, PA's NPI (1063647980) is active in the NPPES registry as of the last update on 2020-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.