| Joseph Sungjae Park, | |
|
17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101 | |
| (201) 313-1212 | |
| Not Available |
| Full Name | Joseph Sungjae Park |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 17 Brinkerhoff Ter # 202, Palisades Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144919721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X013693-01 (New York) | Secondary |
| 111N00000X | Chiropractor | 38MC00795900 (New Jersey) | Primary |
| Provider Name | Jsp Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518657352 PECOS PAC ID: 5698138485 Enrollment ID: O20230828000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Sungjae Park, 555 Gorge Rd Apt 5f, Cliffside Park, NJ 07010-2240 Ph: (201) 388-5332 | Joseph Sungjae Park, 17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650-1101 Ph: (201) 313-1212 |
Nj Pain Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21 Grand Ave Ste 503, Palisades Park, NJ 07650 Phone: 201-941-0990 Fax: 201-941-0991 | |
Jha Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7 Broad Ave Ste 309, Palisades Park, NJ 07650 Phone: 201-313-1125 | |
Prime Total Pain Clinic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 118 Broad Ave Ste 10, Palisades Park, NJ 07650 Phone: 201-313-1122 Fax: 201-941-1157 | |
Sk Chiro Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21 Grand Ave Ste 503, Palisades Park, NJ 07650 Phone: 201-941-0993 Fax: 908-888-0248 | |
Prime Spinecare Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 118 Broad Ave Ste N9, Palisades Park, NJ 07650 Phone: 201-482-0439 Fax: 201-482-8703 | |
Sungsik Kim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 21 Grand Ave Ste 516, Palisades Park, NJ 07650 Phone: 201-313-0313 |