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

Jina Park, MD

Individual provider Neurology Physician · NPI 1487003505

Jina Park, MD is a Neurology in Ridgewood, New Jersey. Graduated from New York University School of Medicine in 2016, 10 years ago. Practices with Neurology Group of Bergen County PA, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
10
Trained at
New York University School of Medicine
Licensed in
NJ, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 E Ridgewood Ave Ste 208
Ridgewood, NJ 07450-3937
Phone: (201) 444-0868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 25MA11105600 (NJ)
Neurology Physician Taxonomy 2084N0400X · Licence 291837 (NY)

Record details

NPI number1487003505
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2016
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022
Mailing address1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450-3937

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Neurology Group Of Bergen County Pa — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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