Active NPIIndividual provider

Jason Park, OTR/L

Occupational Therapist in Englewood, New Jersey

NPI Number1376178731
Practice location
535 Grand Ave, Englewood, NJ 07631-4934
Fax
—
Last updated
March 6, 2020

Jason Park is an Occupational Therapist based in Englewood, NJ. Jason Park practices in Englewood, NJ and has the professional credentials of OTR/L. The NPI Number for Jason Park is 1376178731 and holds a License No. 46TR00782700 (NJ). The current practice location address for Jason Park is 535 Grand Ave, Englewood, NJ 07631-4934 and can be reached out via phone at 201-541-1111.

Provider Profile Details

NPI Number
1376178731
Provider Name
Jason Park
Credential
OTR/L
Provider Entity Type
Individual
Gender
Male
Address
535 Grand Ave, Englewood, NJ 07631-4934
Phone Number
201-541-1111
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2020
Last Update Date
March 6, 2020
Certification Date
March 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Grand Ave
Englewood, NJ 07631-4934
Zip
07631-4934
Phone Number
201-541-1111
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
142 Reldyes Ave
Leonia, NJ 07605-1231
City
Leonia
State
NJ
Zip
07605-1231
Phone Number
551-404-7370

License Information

License Number
46TR00782700
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · 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 Jason Park, OTR/L?

The NPI number of Jason Park, OTR/L is 1376178731. It was assigned on March 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Jason Park, OTR/L?

Jason Park, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00782700.

Where does Jason Park, OTR/L practice?

The practice location is 535 Grand Ave, Englewood, NJ 07631-4934. The office can be reached at 201-541-1111 (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 1376178731 directly on the NPPES registry website.

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