Jae M Park (NPI# 1033530910, PAC ID# 3173754447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1033530910 |
| PAC ID by PECOS | 3173754447 |
| Professional Enrollment ID | I20140331000392 |
| Full Name | Jae M Park |
| Organization Legal Name | ADVANCED WELLNESS |
| Address |
17 N Main St Marlboro NJ 07746-1439 |
| Phone Number | 7324312155 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2163436148 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17 N Main St, Marlboro, NJ 07746-1439 | 7324312155 | ADVANCED WELLNESS |
| Organization Legal Name | ADVANCED WELLNESS |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Cilea | Chiropractic | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Gary L Yen | Physical Medicine and Rehabilitation | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Anthony Benjamin | Physical Therapy | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Timothy Jones | Nurse Practitioner | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Matthew Mendillo | Chiropractic | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Jeffrey Gontarski | Physical Therapy | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Street Address |
17 N MAIN ST |
| City | MARLBORO |
| State | NJ |
| Zip | 07746-1439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Cilea | Chiropractic | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Gary L Yen | Physical Medicine and Rehabilitation | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Anthony Benjamin | Physical Therapy | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Timothy Jones | Nurse Practitioner | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Matthew Mendillo | Chiropractic | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Jeffrey Gontarski | Physical Therapy | Advanced Wellness | 17 N Main St, Marlboro, NJ 07746-1439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly V Tallia | Nurse Practitioner | Allied Digestive Health, LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746 |
| Linda J Hemmer | Physician Assistant | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Steven Schneiderman | Gastroenterology | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Amy N Tilara | Gastroenterology | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Kenny Hui | Gastroenterology | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Matthew Tangorra | Gastroenterology | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Barbara Cencora | Gastroenterology | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Sandhya Shukla | Gastroenterology | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Bernard M Aaron | Gastroenterology | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Daniel Baral | Physician Assistant | Allied Digestive Health LLC | 475 Rt 520, 201 Advanced Gastroenterology Associates LLC, Marlboro, NJ 07746-0000 |
| Find all physicians in zip 07746 | |||
| City | MARLBORO |
| Zip Code | 07746 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MARLBORO + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.