Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Peter Park , MD

Surgery โ€ข Hackensack, NJ

Active NPI 1164800850 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

20 Prospect Ave Ste 901
Hackensack, NJ 076011974

Call 5519964777 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

20 Prospect Ave Ste 901

Hackensack, NJ 076011974

Telephone 5519964777
Fax 5519960800
Organization at the Same NPPES Address or Phone
Jfk Medical Associates Pa Facility NPI 1285078592

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in New Haven, CT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Hackensack Meridian Health Medical Group - Specialty Care Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2015

Medicare patients

326 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $62,161 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $48,649 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Open Payments general payments, program year 2025

All general payments: $1,997.25 across 8 records.

By nature of payment

  • Education: $1,500.00 across 1 record.
  • Travel and Lodging: $257.85 across 2 records.
  • Food and Beverage: $239.40 across 5 records.

Reporting-company totals (3 largest of 5)

  • INTUITIVE SURGICAL, INC.: $1,787.60 across 4 records.
  • Innovation Technologies Inc: $154.53 across 1 record.
  • Smith+Nephew, Inc.: $21.88 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Park has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Park as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hackensack and New Jersey

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Surgery in Hackensack, NJ (2024, 21 clinicians with data). Median for this group: 167. Middle half: 66 to 342.

More Medicare Part B services than 80% of clinicians listed under Surgery in New Jersey (2024, 394 clinicians with data). Median for this group: 208. Middle half: 104 to 422.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Surgery in Hackensack, NJ (2024, 21 clinicians with data). Median for this group: $15,353. Middle half: $4,979 to $49,781.

A higher Medicare-allowed amount than 75% of clinicians listed under Surgery in New Jersey (2024, 394 clinicians with data). Median for this group: $29,870. Middle half: $12,922 to $61,138.

Paid by Medicare

A higher Medicare payment amount than 85% of clinicians listed under Surgery in Hackensack, NJ (2024, 21 clinicians with data). Median for this group: $11,494. Middle half: $3,967 to $37,562.

A higher Medicare payment amount than 75% of clinicians listed under Surgery in New Jersey (2024, 394 clinicians with data). Median for this group: $23,138. Middle half: $9,642 to $46,651.

33 active clinicians are listed under Surgery with a practice address in Hackensack, NJ (737 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hackensack

9.1% of these 33 clinicians have the CMS telehealth indicator.

63.6% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $1,997.25.

Manufacturer Payment Nature Product Type Amount ($)
INTUITIVE SURGICAL, INC.
Education
In-kind items and services
DAVINCI XI General $1,500.00
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $251.85
Innovation Technologies Inc
Food and Beverage
In-kind items and services
IRRISEPT General $154.53
INTUITIVE SURGICAL, INC.
Food and Beverage
In-kind items and services
Da Vinci Surgical System General $29.75
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
COLLAGENASE SANTYL General $21.88
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $19.37
Avanos Medical
Food and Beverage
In-kind items and services
GENERATOR General $13.87
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $6.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
196 117 $161.17 $51.86
99291 Critical care, first 30-74 minutes
123 43 $890.81 $223.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
96 95 $421.25 $138.21
99238 Hospital discharge day management, 30 minutes or less
46 45 $265.65 $84.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
38 27 $255.13 $83.54
99284 Emergency department visit with moderate level of medical decision making
33 33 $385.91 $126.66

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-23
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NJ 25MA11518300

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES PA MT208732

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES CT 68994

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20221207001040

Enrollment State Jurisdiction

NJ

PECOS Control ID

2062881485

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Hackensack Meridian Health Medical Group - Specialty Care Pc

20 Prospect Ave, Hackensack, NJ 076011997

Phone: 5519965045

Secondary Practice Locations

20 York St

New Haven, CT 065103220

Phone: 2036884242

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Gerardo Acosta Barreto , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1821607243

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

NPI 1366447203

Doctor of Medicine (M.D.)

NPI 1851703748

Doctor of Osteopathic Medicine (D.O.)

Bhakti Dudani , PA

Physician Assistant

NPI 1164170866

Physician Assistant

Dr. Douglas James , MD

Surgery - Surgical Critical Care

NPI 1114330677

Doctor of Medicine (M.D.)

Dr. Adam Kaye , MD

Surgery - Trauma Surgery

NPI 1013064096

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐Ÿ“
Updated Business Mailing Address November 23, 2022

Registered at 3600 ROUTE 66 FL 3, NEPTUNE, NJ 077532645 (Tel: 7328070877)

๐Ÿ“
Updated Practice Location June 16, 2022

Registered at 20 PROSPECT AVE STE 901, HACKENSACK, NJ 076011974 (Tel: 5519964777)

๐Ÿ“
Updated Business Mailing Address June 16, 2022

Registered at 20 PROSPECT AVE STE 901, HACKENSACK, NJ 076011974 (Tel: 5519964777)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2022

Surgery (license number reported to NPPES: PA MT208732)

๐Ÿ“
Updated Practice Location August 03, 2021

Registered at 20 YORK ST, NEW HAVEN, CT 065103220 (Tel: 2036884242)

๐Ÿ“
Updated Business Mailing Address August 03, 2021

Registered at 20 YORK ST, NEW HAVEN, CT 065103220 (Tel: 2036884242)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2021

Surgery (license number reported to NPPES: CT 68994)

โœ…
NPI Profile Active May 18, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 18, 2015

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103 (Tel: 2157072000)

๐Ÿ“
Business Mailing Address (Initial Record) May 18, 2015

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103 (Tel: 2157072000)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 18, 2015

Recorded as PETER PARK, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2015

Surgery (license number reported to NPPES: PA MT208732)

๐ŸŸข
Initial NPI Registration & Enumeration May 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164800850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2015
Last Update: November 23, 2022
Sole Proprietor: Yes

Other Surgery Specialists in Hackensack

All Surgery Specialists in Hackensack

Mailing Address

3600 Route 66 Fl 3

Neptune, NJ 077532645

Phone: 7328070877

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.