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

Individual provider Physician Assistant · NPI 1457470833

Joshua Douglas Park, PA-C is a Physician Assistant in Cherry Hill, New Jersey. Qualified in 2003, 23 years ago. Practices with Cooper Surgical Associates, PA, a 306-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
23
Licensed in
NJ, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Brace Rd Ste H
Cherry Hill, NJ 08034
Phone: (856) 547-0389
Fax: (856) 428-4053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2004 Sproul Rd, Broomall, PA 19008-3511 — (610) 353-0800

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00600700 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence MA051536 (PA)

Record details

NPI number1457470833
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Cooper Surgical Associates, Pa — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Cherry Hill