Active NPIIndividual providerSole proprietor

Jung Chul Park

Physical Therapist in Fort Lee, New Jersey

NPI Number1134580988
Practice location
2447 Rossett St Fl 1, Fort Lee, NJ 07024-3919
Fax
—
Last updated
November 5, 2019

Jung Chul Park is a Physical Therapist based in Fort Lee, NJ. Jung Chul Park practices in Fort Lee, NJ. The NPI Number for Jung Chul Park is 1134580988 and holds a License No. 40QA01658400 (NJ). The current practice location address for Jung Chul Park is 2447 Rossett St Fl 1, Fort Lee, NJ 07024-3919 and can be reached out via phone at 201-757-7234.

Provider Profile Details

NPI Number
1134580988
Provider Name
Jung Chul Park
Provider Entity Type
Individual
Gender
Male
Address
2447 Rossett St Fl 1, Fort Lee, NJ 07024-3919
Phone Number
201-757-7234
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
March 8, 2016
Last Update Date
November 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2447 Rossett St Fl 1
Fort Lee, NJ 07024-3919
Zip
07024-3919
Phone Number
201-757-7234
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2447 Rossett St Fl 1
Fort Lee, NJ 07024-3919
City
Fort Lee
State
NJ
Zip
07024-3919

License Information

License Number
40QA01658400
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 Jung Chul Park?

The NPI number of Jung Chul Park is 1134580988. It was assigned on March 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Jung Chul Park?

Jung Chul Park is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01658400.

Where does Jung Chul Park practice?

The practice location is 2447 Rossett St Fl 1, Fort Lee, NJ 07024-3919. The office can be reached at 201-757-7234 (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 1134580988 directly on the NPPES registry website.

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