Provider Demographics
NPI:1316814916
Name:BERGEN JHP PT PC
Entity type:Organization
Organization Name:BERGEN JHP PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAEHYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:201-408-5016
Mailing Address - Street 1:333 SYLVAN AVE STE 326
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2734
Mailing Address - Country:US
Mailing Address - Phone:201-408-5016
Mailing Address - Fax:201-877-1062
Practice Address - Street 1:333 SYLVAN AVE STE 326
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2734
Practice Address - Country:US
Practice Address - Phone:201-408-5016
Practice Address - Fax:201-877-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty