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

Elisa Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144070129

Elisa Park, MD is a Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

30 Prospect Ave # 4E-90
Hackensack, NJ 07601-1915
Phone: (551) 996-4842
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1144070129
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 24, 2024
Mailing address30 Prospect Ave # 4e-90, Hackensack, NJ 07601-1915

Other providers in Hackensack