Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eugene Park, LAC, PA-C

Individual provider Acupuncturist · NPI 1154472546

Eugene Park, LAC, PA-C is a Physician Assistant in Fort Lee, New Jersey. Qualified in 2006, 20 years ago. Practices with Excel Urgent Care of Paramus LLC, a 15-clinician group and accepts Medicare assignment. Licensed in California, New Jersey and New York.

Years since qualifying
20
Licensed in
CA, NJ, NY
In the registry since
2007
Specialties on file
6
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

458 W St
Fort Lee, NJ 07024-3408
Phone: (201) 474-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025055 (NY)
Acupuncturist Taxonomy 171100000X · Licence 7437 (NY)
Acupuncturist Taxonomy 171100000X · Licence AC8570 (CA)
Acupuncturist Taxonomy 171100000X · Licence 25MZ00169700 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00577600 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PA18721 (CA)

Record details

NPI number1154472546
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Excel Urgent Care Of Paramus Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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