Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter B. Park, MD

Individual provider Diagnostic Radiology Physician · NPI 1487609723

Dr. Peter B. Park, MD is an Interventional Radiology in Old Bridge, New Jersey. Graduated from State University of New York Downstate Medical Center in 1994, 32 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
32
Trained at
State University of New York Downstate Medical Center
Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 Perrine Rd Ste 301
Old Bridge, NJ 08857-3627
Phone: (732) 727-8346
Fax: (732) 727-8345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 25MA07085300 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA07085300 (NJ)

Record details

NPI number1487609723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address300 Perrine Rd, Suite 301, Old Bridge, NJ 08857-3627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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