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

Seongae Park

Individual provider Acute Care Nurse Practitioner · NPI 1528273075

Seongae Park is a Nurse Practitioner in Jersey City, New Jersey. Qualified in 2006, 20 years ago. Practices with Robert Wood Johnson Physician Enterprise, a 71-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
20
Licensed in
NJ
In the registry since
2007
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Practice location Address checks out

1825 Kennedy Blvd
Jersey City, NJ 07305
Phone: (201) 547-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ00112200 (NJ)

Record details

NPI number1528273075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESNovember 24, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Robert Wood Johnson Physician Enterprise — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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