DR. JANE PARK (M.D.) – Colon & Rectal Surgery Physician, NPI 1700939956

DR. JANE PARK (M.D.) is a healthcare provider. based in Brick, New Jersey. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD434270 (PA). The NPI Number for DR. JANE PARK (M.D.) is 1700939956

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANE PARK (M.D.)
NPI
1700939956
Phone
(732) 701-4848
Address
478 BRICK BLVD
Enumeration Date
19 January 2007
Last Update Date
24 October 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
7327014848
Graduation Year
2001 (25 years ago)
PAC ID
8729127345
Group Practice PAC ID
0446222533
Professional Enrollment ID
I20091120000072
Address ID
NJ087236077BR478XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

105 COLORECTAL SURGERY (PROCTOLOGY) in NJ

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Provider Addresses for DR. JANE PARK (M.D.)

  • 478, Brick Boulevard, Bricktown, Brick Township, Ocean County, New Jersey, 08723, United States

    BRICK, NJ 087236077

    Phone: (732) 701-4848

    Fax: (732) 701-1244

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-11-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091120000072IColorectal Surgery (Proctology)NJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4938$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
46600Diagnostic exam of anus using an endoscope2520$0
99212Established patient office or other outpatient visit, 10-19 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 08723)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446222533View full group profile
NameSpecialtyState
General SurgeryGA
Physician AssistantPA
General SurgeryNJ
Surgical Oncology, General SurgeryKY
General SurgeryNJ
General Surgery, Surgical OncologyNJ
General SurgeryNJ
General SurgeryPA
General SurgeryNJ
General SurgeryNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JANE PARK (M.D.)?
DR. JANE PARK (M.D.) — NPI 1700939956 — is the standard way to identify this listing.
Is DR. JANE PARK (M.D.) listed as active for patients and plans?
The listing shows DR. JANE PARK (M.D.) as active in the NPI system.
What healthcare role does DR. JANE PARK (M.D.) hold?
Scheduling teams often label DR. JANE PARK (M.D.) under Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JANE PARK (M.D.)?
DR. JANE PARK (M.D.)'s geographic hint is Brick, New Jersey in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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