Jaehyun Park
NPI 1114706082 · Physical Therapist · North Bergen, NJ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaehyun Park is a Physical Therapist provider in North Bergen, NJ (NPI 1114706082).
Provider details
- NPI number
- 1114706082
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 048827-01 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2023-09-28
- Certified
- 2023-08-01
Frequently asked questions
- What is Jaehyun Park's NPI number?
- Jaehyun Park's National Provider Identifier (NPI) is 1114706082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaehyun Park's specialty?
- Jaehyun Park is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jaehyun Park located?
- Jaehyun Park's practice location on file with NPPES is 7400 River Rd Apt 310, North Bergen, NJ 07047-7228.
- What is Jaehyun Park's phone number?
- The practice phone number listed in the NPPES registry for Jaehyun Park is (617) 817-5979.
- Does Jaehyun Park accept Medicare?
- Jaehyun Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaehyun Park's NPI active?
- Yes — Jaehyun Park's NPI (1114706082) is active in the NPPES registry as of the last update on 2023-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.