| Jae Park, | |
|
17 N Main St, Marlboro, NJ 07746-1439 | |
| (732) 431-2155 | |
| Not Available |
| Full Name | Jae Park |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 17 N Main St, Marlboro, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033530910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01528600 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Wellness | 2163436148 | 10 |
| Provider Name | Advanced Wellness |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326053273 PECOS PAC ID: 2163436148 Enrollment ID: O20060130000098 |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Park, 17 N Main St, Marlboro, NJ 07746-1439 Ph: (732) 431-2155 | Jae Park, 17 N Main St, Marlboro, NJ 07746-1439 Ph: (732) 431-2155 |
Roderick E Hansen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 County Road 520, Marlboro, NJ 07746 Phone: 732-946-2101 | |
Natalie Johanna Farah, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Sweet Ct, Marlboro, NJ 07746 Phone: 732-320-7257 | |
Mr. Daniel Elliott Mitchell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Buttonwood Dr, Marlboro, NJ 07746 Phone: 732-616-9156 | |
Danielle T Robbins, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 479 Newman Springs Rd Bldg C, Marlboro, NJ 07746 Phone: 732-912-2800 | |
Sarah E Knapp, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 167 U.s. 9 South, Marlboro, NJ 07751 Phone: 732-334-5000 Fax: 732-334-5001 | |
Movewell Holdings Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 79 S Main St, Marlboro, NJ 07746 Phone: 732-298-6300 |