Organization Active NPI

Hong Pak MD PC

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1326644956
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HONG PAK MD PC
Practice address
15001 Northern Blvd
Flushing, NY 11354-3896
Phone
(718) 746-4919
Fax
(888) 502-9368
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Hong Sik Pak, MD
Title
Owner
Phone
(201) 805-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

15001 Northern Blvd
Flushing, NY 11354-3896

Mailing address

15001 Northern Blvd
Flushing, NY 11354-3896
Phone (718) 746-4919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1326644956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "718-746-4919",
            "fax_number": "888-502-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "718-746-4919",
            "fax_number": "888-502-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG PAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-805-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.