Hyun Joo Park, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01267000 Issued in NJ

Practice address

2050 Center Ave Ste 375
Fort Lee, NJ 07024-4936

Phone

(201) 585-7300

Fax

(201) 585-7301

NPI assigned

Sep 22, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Lee Physical Therapy PCGroup PAC ID 4880747195, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fort Lee Physical Therapy, P.C.

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1003050436
  Medicare reassignment Care Compare group Authorized official
• JZV Center for Rehabilitation of the Upper Extremity Inc

  • Hand Occupational Therapist
  • Clifton, NJ
  • NPI 1407924186
  NPD (past)
• Mahwah Health Services

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1629488127
  NPD (past)
• Mahwah Health Services, LLC

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1851445068
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1568612992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CENTER AVE STE 375",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244936",
            "telephone_number": "201-585-7300",
            "fax_number": "201-585-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CENTER AVE STE 375",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244936",
            "telephone_number": "201-585-7300",
            "fax_number": "201-585-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYUN",
        "middle_name": "JOO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01267000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Park, DPT
• David Spring Park, LAC
• Eugene Park, L.AC, PA-C
• Haeri Park
• Hyewon Park
• Inhyon Park, D.C, L.AC
• Insun Park, D.C.
• Jaesung Park, DC
• Jeong In Park, PHARMACIST
• Jihye Park, DDS

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.