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

Ji Hae Park, MD

Individual provider Urology Physician · NPI 1205298007

Ji Hae Park, MD is an Urology in Palisades Park, New Jersey. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2016, 10 years ago. Practices with Rutgers Health-Rwj Neurosurgery Faculty, a 192-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
10
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NJ
In the registry since
2016
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

500 1st St
Palisades Park, NJ 07650-2662
Phone: (201) 240-8599
Fax: (201) 204-8599
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence P06084010062881 (NJ)

Record details

NPI number1205298007
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 22, 2016
Mailing address500 1st St, Palisades Park, NJ 07650-2662

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2016 (10 years in practice)
Group practice Rutgers Health-Rwj Neurosurgery Faculty — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services