Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902294598 Individual Practitioner Female Practitioner

Mie Hea Park

Nurse Practitioner • Englewood, NJ

Professional Overview & Biography Verified Profile Summary

Mie Hea Park is a registered healthcare professional specializing in Nurse Practitioner in Englewood, NJ. Practice services are available at 475 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

475 Grand Ave
2nd Floor

Englewood, NJ 076314965

Telephone 2015411111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Englewood, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Englewood, NJ (1984 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP019778

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License NJ 26NJ00544400

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Chee Kim , MD

Rehabilitation Practitioner

NPI 1093723314

Doctor of Medicine (M.D.)

Jason Park , OTR, L

Occupational Therapist

NPI 1376178731

Occupational Therapist Registered, L

Sharon Lee , PA-C

Physician Assistant

NPI 1558687277

Physician Assistant (Certified)

Jinhee Choi , PT

Physical Therapist

NPI 1699948117

Physical Therapist

Noah Kubissa , PT

Physical Therapist

NPI 1740559806

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address February 08, 2019

Registered at 2290 GALLOWAY RD APT B9, BENSALEM, PA 190202956

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2019

Nurse Practitioner (License #SP019778 in PA)

NPI Profile Active January 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2015

Registered at 475 GRAND AVE, 2ND FLOOR, ENGLEWOOD, NJ 076314965 (Tel: 2015411111)

📍
Updated Business Mailing Address January 05, 2015

Registered at 2306 CITY PL, EDGEWATER, NJ 070203156

👤
Provider Name / Credentials Updated January 05, 2015

Recorded as MIE HEA PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2015

Nurse Practitioner (License #26NJ00544400 in NJ)

🟢
Initial NPI Registration & Enumeration January 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902294598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2015
Last Update: February 08, 2019
Sole Proprietor: No

Mailing Address

2290 Galloway Rd Apt B9

Bensalem, PA 190202956

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.