Active NPIIndividual provider

Jae Park

Physical Therapist in Marlboro, New Jersey

NPI Number1033530910
Practice location
17 N Main St, Marlboro, NJ 07746-1439
Fax
—
Last updated
December 19, 2013

Jae Park is a Physical Therapist based in Marlboro, NJ. Jae Park practices in Marlboro, NJ. The NPI Number for Jae Park is 1033530910 and holds a License No. 40qa01528600 (NJ). The current practice location address for Jae Park is 17 N Main St, Marlboro, NJ 07746-1439 and can be reached out via phone at 732-431-2155.

Provider Profile Details

NPI Number
1033530910
Provider Name
Jae Park
Provider Entity Type
Individual
Gender
Male
Address
17 N Main St, Marlboro, NJ 07746-1439
Phone Number
732-431-2155
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 19, 2013
Last Update Date
December 19, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 N Main St
Marlboro, NJ 07746-1439
Zip
07746-1439
Phone Number
732-431-2155
Marlboro, NJ 07746Get directions →

Provider Business Mailing Address Details

Address
17 N Main St
Marlboro, NJ 07746-1439
City
Marlboro
State
NJ
Zip
07746-1439
Phone Number
732-431-2155

License Information

License Number
40qa01528600
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jae Park?

The NPI number of Jae Park is 1033530910. It was assigned on December 19, 2013 and is currently active in the NPPES registry.

What is the specialty of Jae Park?

Jae Park is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40qa01528600.

Where does Jae Park practice?

The practice location is 17 N Main St, Marlboro, NJ 07746-1439. The office can be reached at 732-431-2155 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033530910 directly on the NPPES registry website.

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