DR. DUCKSOON PARK D.C. NPI 1477755163

NPI Information

  • NPI: 1477755163
  • Provider Name: DR. DUCKSOON PARK, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 464 HUDSON TERR.
    SUITE 204
    ENGLEWOOD CLIFFS, NJ
    ZIP 07632
  • Phone: (201) 956-4146

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NPI Details

DR. Ducksoon Park, D.C. is a chiropractor in Englewood Cliffs, NJ with 30 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Ducksoon Park, D.C. NPI is 1477755163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year:1996

The provider's business location address is:

464 HUDSON TERR.
SUITE 204
ENGLEWOOD CLIFFS, NJ
ZIP 07632-514
Phone: (201) 956-4146

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 6/4/2007 and was last updated on 1/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorX008533NEW YORKNo
2111N00000XChiropractorMC05041NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U66182MEDICARE UPINNEW JERSEY
2PA903519MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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