JEONG MI PAK APRN NPI 1174097331

NPI Information

NPI: 1174097331
Provider Name: JEONG MI PAK, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
11-13 SUNFLOWER AVE
PARAMUS, NJ
ZIP 07652
Phone: (855) 505-2880
Get Directions

Jeong Mi Pak, APRN is a psychiatric/mental health nurse practitioner in Paramus, NJ with 6 years of experience. Jeong Mi Pak, APRN NPI is 1174097331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11-13 SUNFLOWER AVE
PARAMUS, NJ
ZIP 07652-700
Phone: (855) 505-2880

The NPI 1174097331 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/21/2019 and was last updated on 3/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	816263	NEVADA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ01120900	NEW JERSEY	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11005195	FLORIDA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	8209	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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