Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jae Park

Individual provider Physical Therapist · NPI 1033530910

Jae Park is registered under Physical Therapist in Private Practice in Marlboro, New Jersey. Qualified in 2013, 13 years ago. Practices with Advanced Wellness, an 18-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17 N Main St
Marlboro, NJ 07746-1439 Not confirmed with CMS for 12 years — call before visiting
Phone: (732) 431-2155
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01528600 (NJ)

Record details

NPI number1033530910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2013
Last updated in NPPESDecember 19, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advanced Wellness — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients197
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Advanced Wellness

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 18 clinicians in the practice; 12 are shown here.

Other providers in Marlboro