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Dr. Jin S. Park, M.D.

Nephrology Physician in Brick, NJ · enumerated 2006.

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

National Provider Identifier

1902842057

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Registry record

Entity type Individual (Type 1)
Name Dr. Jin S. Park
Credential M.D.
Sex Male
Practice address 210 Jack Martin Blvd, Suite D-1, Brick, NJ, 08724
Fax (732) 458-4962
Enumeration date Jun 20, 2006
Last updated in NPPES Oct 2, 2014

Taxonomy & licenses

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 34848 (NJ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
2961601 Medicaid NJ -
390003662 Other - RAILROAD MEDCARE NUMBER

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 Jin Park practice?
The practice location on file with NPPES is in Brick, NJ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jin Park?
The National Provider Identifier (NPI) for Jin Park is 1902842057, 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 2014-10-02.