Organization Active NPI

Hong S Pak MD PC

  • Medical Specialty Clinic/Center
  • Ridgefield, NJ
National Provider Identifier
1043469224
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA071859 Issued in NJ
Legal business name
HONG S PAK MD PC
Practice address
725 Grand Ave Ste 105
Ridgefield, NJ 07657-1045
Phone
(201) 840-5055
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hong S Pak, M.D.NPI 1427077056
Title
Ceo
Phone
(201) 840-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA071859 NJ Primary

Addresses

Primary practice location

725 Grand Ave Ste 105
Ridgefield, NJ 07657-1045

Mailing address

725 Grand Ave Ste 105
Ridgefield, NJ 07657-1045
Phone (201) 840-5055

National Provider Directory

National Provider Directory

Locations

725 Grand Ave
Ste 105
Ridgefield, NJ 07657
Phone (201) 804-5055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1043469224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE STE 105",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571045",
            "telephone_number": "201-840-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE STE 105",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571045",
            "telephone_number": "201-840-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG S PAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-840-5055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA071859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.