Jaehyun Park
Physical Therapist in North Bergen, New Jersey
1114706082- Practice location
- 7400 River RD Apt 310, North Bergen, NJ 07047-7228
- Phone
- 617-817-5979
- Fax
- —
- Last updated
- September 28, 2023
Jaehyun Park is a Physical Therapist based in North Bergen, NJ. Jaehyun Park practices in North Bergen, NJ. The NPI Number for Jaehyun Park is 1114706082 and holds a License No. 048827-01 (NY). The current practice location address for Jaehyun Park is 7400 River RD Apt 310, North Bergen, NJ 07047-7228 and can be reached out via phone at 617-817-5979.
Provider Profile Details
- NPI Number
- 1114706082
- Provider Name
- Jaehyun Park
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 7400 River RD Apt 310, North Bergen, NJ 07047-7228
- Phone Number
- 617-817-5979
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 28, 2023
- Last Update Date
- September 28, 2023
- Certification Date
- August 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7400 River RD Apt 310
North Bergen, NJ 07047-7228 - City
- North Bergen
- State
- New Jersey
- Zip
- 07047-7228
- Phone Number
- 617-817-5979
Provider Business Mailing Address Details
- Address
- 7400 River RD Apt 310
North Bergen, NJ 07047-7228 - City
- North Bergen
- State
- NJ
- Zip
- 07047-7228
- Phone Number
- 617-817-5979
License Information
- License Number (1)
- 048827-01
- License State (1)
- NY
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 40QA02095200
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jaehyun Park?
The NPI number of Jaehyun Park is 1114706082. It was assigned on September 28, 2023 and is currently active in the NPPES registry.
What is the specialty of Jaehyun Park?
Jaehyun Park is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 048827-01.
Where does Jaehyun Park practice?
The practice location is 7400 River RD Apt 310, North Bergen, NJ 07047-7228. The office can be reached at 617-817-5979 (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 1114706082 directly on the NPPES registry website.