Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jung Chul Park

Individual provider Physical Therapist · NPI 1134580988

Jung Chul Park is a Physical Therapist in Private Practice in Fort Lee, New Jersey. Qualified in 2016, 10 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
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Practice location Address checks out

2447 Rossett St Fl 1
Fort Lee, NJ 07024-3919
Phone: (201) 757-7234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33 Oak St, Hackensack, NJ 07601-4932 — (201) 488-0488

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01658400 (NJ)

Record details

NPI number1134580988
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2016
Last updated in NPPESNovember 5, 2019
Mailing address2447 Rossett St Fl 1, Fort Lee, NJ 07024-3919

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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