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

Ju Young Park

Individual provider Registered Nurse · NPI 1164297396

Ju Young Park is a Registered Nurse in Old Tappan, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

2 Candlewood Dr
Old Tappan, NJ 07675-7055
Phone: (646) 678-1419
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 654389 (NY)

Record details

NPI number1164297396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address2 Candlewood Dr, Old Tappan, NJ 07675-7055

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