Hong Sik Pak MD Corea Rehab Pain Clinic

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

25MA07185900 Issued in NJ

Legal business name

HONG SIK PAK MD COREA REHAB PAIN CLINIC

Practice address

725 Grand Ave
Suite 103
Ridgefield, NJ 07657-1045

Phone

(201) 446-6701

Fax

(201) 840-7008

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Kim

Title

Biller

Phone

(201) 446-6701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1104210632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE",
            "address_2": "SUITE 103",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571045",
            "telephone_number": "201-446-6701",
            "fax_number": "201-840-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GRAND AVE",
            "address_2": "SUITE 103",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571045",
            "telephone_number": "201-446-6701",
            "fax_number": "201-840-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG SIK PAK MD COREA REHAB PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "201-446-6701"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NJ",
            "license": "25MA07185900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jungmin Esther Han, DDS
• Hanmi Medical Associates PA
• Healing Chiropractic PC
• Holistic Physical Therapy LLC
• Hong S Pak MD PC
• Hope Acupuncture LLC
• Hongsok Hwang, DDS
• Institute of Back Testing & Rehab (Doctors Choice Physical Therapy)
• Julia Istratov, DPT
• Janus Acupuncture Care, P.C.

• Rehabilitation Practitioner in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Rehabilitation Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.