Organization Active NPI

Bosco Park Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
National Provider Identifier
1629898986
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.