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

Terrence Park

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1063866689

Terrence Park is a Podiatry in Cliffside Park, New Jersey. Graduated from New York College of Podiatric Medicine in 2016, 10 years ago. Practices with Community Medical and Dental Care, Inc, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2016

Practice location Address checks out

293 Marion Ave # 2
Cliffside Park, NJ 07010-2614
Phone: (201) 916-0735
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N007212-01 (NY)

Record details

NPI number1063866689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2016
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address301 Glen Dr, Cedar Knolls, NJ 07927-1316

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Community Medical And Dental Care, Inc. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cliffside Park