Nathanael Park, PTA
Physical Therapy Assistant in Lyndhurst, New Jersey
1427813617- Practice location
- 749 Marin Ave Unit 1, Lyndhurst, NJ 07071-2521
- Phone
- 201-916-1681
- Fax
- —
- Last updated
- February 16, 2024
Nathanael Park is a Physical Therapy Assistant based in Lyndhurst, NJ. Nathanael Park practices in Lyndhurst, NJ and has the professional credentials of PTA. The NPI Number for Nathanael Park is 1427813617 and holds a License No. 40QB00353800 (NJ). The current practice location address for Nathanael Park is 749 Marin Ave Unit 1, Lyndhurst, NJ 07071-2521 and can be reached out via phone at 201-916-1681.
Provider Profile Details
- NPI Number
- 1427813617
- Provider Name
- Nathanael Park
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 749 Marin Ave Unit 1, Lyndhurst, NJ 07071-2521
- Phone Number
- 201-916-1681
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 16, 2024
- Last Update Date
- February 16, 2024
- Certification Date
- February 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 749 Marin Ave Unit 1
Lyndhurst, NJ 07071-2521 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-2521
- Phone Number
- 201-916-1681
Provider Business Mailing Address Details
- Address
- 749 Marin Ave Unit 1
Lyndhurst, NJ 07071-2521 - City
- Lyndhurst
- State
- NJ
- Zip
- 07071-2521
- Phone Number
- 201-916-1681
License Information
- License Number
- 40QB00353800
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
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 Nathanael Park, PTA?
The NPI number of Nathanael Park, PTA is 1427813617. It was assigned on February 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Nathanael Park, PTA?
Nathanael Park, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00353800.
Where does Nathanael Park, PTA practice?
The practice location is 749 Marin Ave Unit 1, Lyndhurst, NJ 07071-2521. The office can be reached at 201-916-1681 (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 1427813617 directly on the NPPES registry website.