What is Shane Park's NPI number?

Shane Park's National Provider Identifier (NPI) is 1992551139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Park's specialty?

Shane Park is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).

Where is Shane Park located?

Shane Park's practice location on file with NPPES is 110 Bergen St, Newark, NJ 07103-2495.

What is Shane Park's phone number?

The practice phone number listed in the NPPES registry for Shane Park is (973) 972-4620.

Is Shane Park's NPI active?

Yes — Shane Park's NPI (1992551139) is active in the NPPES registry as of the last update on 2024-04-29.

IndividualActive

Shane Park

NPI 1992551139 · Student in an Organized Health Care Education/Training Program · Newark, NJ

Shane Park is a Student in an Organized Health Care Education/Training Program provider in Newark, NJ (NPI 1992551139).

Provider details

NPI number: 1992551139
Entity type: Individual
Primary specialty: Student in an Organized Health Care Education/Training ProgramStudent, Health Care
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Student in an Organized Health Care Education/Training ProgramPrimary390200000X
Student, Health Care

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% 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

110 Bergen St

Newark, NJ 07103-2495

Phone: (973) 972-4620

Street-level locationGet directions

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Mailing address