Active NPI
Bosco Park Physical Therapy LLC
- Physical Therapy Clinic/Center
- Englewood Cliffs, NJ
National Provider Identifier
1629898986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- BOSCO PARK PHYSICAL THERAPY LLC
- Practice address
- 440 Sylvan Ave Ste 135
Englewood Cliffs, NJ 07632-2736 - Phone
- (201) 937-1551
- NPI assigned
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bosco Seongyeol Park, PT, DPT
- Title
- Owner
- Phone
- (201) 566-6398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
440 Sylvan Ave Ste 135
Englewood Cliffs, NJ 07632-2736
Mailing address
440 Sylvan Ave Ste 135
Englewood Cliffs, NJ 07632-2736
Phone (201) 566-6398
National Provider Directory
National Provider DirectoryLocations
440 Sylvan Ave
Ste 135
Englewood Cliffs, NJ 07632
Phone (201) 566-6398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1629898986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SYLVAN AVE STE 135",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322736",
"telephone_number": "201-566-6398",
"fax_number": "201-367-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 SYLVAN AVE STE 135",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322736",
"telephone_number": "201-937-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSCO PARK PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "BOSCO",
"authorized_official_middle_name": "SEONGYEOL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-566-6398",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.