Individual provider · Type 1 NPI

Ina Park, MD

Student in an Organized Health Care Education/Training Program · Hackensack, NJ

NPI number 1053255190 Active

Practice location

Hackensack University Medical Center 30 Prospect Avenue
Hackensack, NJ 07601

Call (551) 996-9150 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053255190

Ina Park, MD's National Provider Identifier is 1053255190, issued on Apr 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hackensack, NJ. The record was last updated on Oct 29, 2026.