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

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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