Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE PARK, MS, RD
ActiveSHANE PARK, MS, RD is a Registered Dietitian healthcare provider located in KINNELON, New Jersey. NPI 1528639283 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · KINNELON, NJ
Registration Details
- NPI Number
- 1528639283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2021 (5.0699722167738 yrs)
- Last Updated
- Jul 5, 2021
Practice Information
- Address
-
27 FORESTDALE RDKINNELON, NJ, 074052558Browse NJ providers · Browse ZIP 07405
- Phone
- 9738796811
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in KINNELON, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. DANA ANN JACKO | RD | 1760510200 |
| PURNIMA SHIVARAM | — | 1730755786 |
| KRISTIN BERAITIS | RD | 1881319069 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.