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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAEHYUN PARK

Active

JAEHYUN PARK is a Physical Therapy Assistant healthcare provider located in NORTH BERGEN, New Jersey. NPI 1114706082 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NORTH BERGEN, NJ

Registration Details

NPI Number
1114706082
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2023 (2.8780252417346 yrs)
Last Updated
Sep 28, 2023
Licenses
048827-01 (NY)
40QA02095200 (NJ)

Practice Information

Address
7400 RIVER RD APT 310
NORTH BERGEN, NJ, 070477228
Browse NJ providers · Browse ZIP 07047
Phone
6178175979
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in NORTH BERGEN, NJ

Name Credential NPI
MS. ARANKA KOMLOS PT 1124126461
MR. KENNETH WEINKAUF PT 1467545327
COLLEEN KENNEDY 1679661755
MRS. AMY M CUSICK MS PT ATC 1902996226
ALICE O'HALLORAN 1780766717
FERDINANDO DAVID FORCELLATI PT MA PT GDMT 1235204264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.