Individual Healthcare Provider
Tina Park, D.D.S.
Provider's NPPES record last updated: July 24, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1265971048
- Primary Specialty
- Dentist — Pediatric Dentistry
- Practice Location
- Newton, New Jersey
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 5:01 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Pediatric Dentistry
Dental Providers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Taxonomy code 1223P0221X
Provider-Reported License Information
- Dentist (New Jersey)
- 22DI02785600
- Dentist (New York)
- 059942
Practice Locations
Practice Location
11 Lawrence Rd
Newton, New Jersey 07860-2794
Phone: (973) 300-0002
Additional Practice Location
111 E Main St
Mount Kisco, New York 10549-2340
Phone: (914) 864-0464
Additional Practice Location
107 S Broadway
Yonkers, New York 10701-4006
Phone: (914) 378-7848
Record Information
- Enumeration Date
- February 14, 2017
- Provider's NPPES Record Last Updated
- July 24, 2025
- Certification Date
- July 24, 2025
- NPISignal NPPES Dataset
- August 2026
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