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

Shane Park, MS, RD

Individual provider Registered Dietitian · NPI 1528639283

Shane Park, MS, RD is a Registered Dietitian in Kinnelon, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

27 Forestdale Rd
Kinnelon, NJ 07405-2558
Phone: (973) 879-6811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1528639283
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD
Sole proprietorNo
NPI enumeratedJuly 5, 2021
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021
Mailing address27 Forestdale Rd, Kinnelon, NJ 07405-2558

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