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Dr. Charles W. Park, M.D.

Psychiatry Physician in West Orange, NJ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629179411

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Registry record

Entity type Individual (Type 1)
Name Dr. Charles W. Park
Credential M.D.
Sex Male
Practice address 405 Northfield Ave, Suite 204, West Orange, NJ, 07052
Phone (973) 325-6120
Fax (973) 325-6126
Enumeration date Sep 26, 2006
Last updated in NPPES Dec 18, 2013

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 25MA07374100 (NJ) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 25MA07374100 (NJ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Charles Park practice?
The practice location on file with NPPES is in West Orange, NJ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Charles Park?
The National Provider Identifier (NPI) for Charles Park is 1629179411, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-18.