Hyeoyoung Park, | |
115 Knickerbocker Rd, Cresskill, NJ 07626-2439 | |
(201) 266-4029 | |
Not Available |
Full Name | Hyeoyoung Park |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 115 Knickerbocker Rd, Cresskill, 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 |
---|---|---|---|
1598953341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 40QA00899500 (New Jersey) | Primary |
Provider Name | Prime Total Pain Clinic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154859122 PECOS PAC ID: 5092197350 Enrollment ID: O20220802004128 |
Mailing Address | Practice Location Address |
---|---|
Hyeoyoung Park, 115 Knickerbocker Rd, Cresskill, NJ 07626-2439 Ph: (201) 266-4029 | Hyeoyoung Park, 115 Knickerbocker Rd, Cresskill, NJ 07626-2439 Ph: (201) 266-4029 |
Nikolas Rivera, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 32 Piermont Rd, Cresskill, NJ 07626 Phone: 201-567-0044 Fax: 201-567-0048 | |
Ada Navarro, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 County Road, Cresskill, NJ 07626 Phone: 201-567-9310 | |
Tonic Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 328 11th St, Cresskill, NJ 07626 Phone: 551-358-3349 Fax: 201-894-1854 | |
Allison Butigian, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 32 Piermont Rd, Cresskill, NJ 07626 Phone: 201-567-0044 Fax: 201-567-0048 | |
Matthew R Choman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32 Piermont Rd, Cresskill, NJ 07626 Phone: 201-567-0044 | |
Mr. Marc D Favieri, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Knickerbocker Rd, Cresskill, NJ 07626 Phone: 201-541-9222 Fax: 201-541-1711 | |
Excel Orthopedic Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Piermont Rd, Cresskill, NJ 07626 Phone: 201-567-0044 |