DR. PETER B. PARK MD NPI 1487609723

NPI Information

  • NPI: 1487609723
  • Provider Name: DR. PETER B. PARK, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 PERRINE RD
    SUITE 301
    OLD BRIDGE, NJ
    ZIP 08857
  • Phone: (732) 727-8346

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NPI Details

DR. Peter B. Park, MD is a vascular and interventional radiology radiology in Old Bridge, NJ with 32 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Peter B. Park, MD NPI is 1487609723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1994

The provider's business location address is:

300 PERRINE RD
SUITE 301
OLD BRIDGE, NJ
ZIP 08857-627
Phone: (732) 727-8346
Fax: (732) 727-8345

The NPI 1487609723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of plaque in artery of leg, initial vessel (HCPCS:37229)
  • Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance (HCPCS:36466)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Removal of plaque in artery of leg, each additional vessel (HCPCS:37233)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, initial vessel (HCPCS:37184)
  • Balloon dilation of groin artery, initial vessel (HCPCS:37220)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Balloon dilation of groin artery, each additional vessel (HCPCS:37222)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of tube into vena cava (HCPCS:36010)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 12/19/2024.

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
12085R0202XRadiologyDiagnostic Radiology25MA07085300NEW JERSEYNo
22085R0204XRadiologyVascular & Interventional Radiology25MA07085300NEW 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
10001236MEDICAIDNEW 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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