Hong Sik Pak, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA071859 Issued in NJ

Practice address

2400 Lemoine Ave # 209
Fort Lee, NJ 07024-6204

Phone

(201) 580-0725

Fax

(201) 363-8822

NPI assigned

Jul 18, 2006

Last updated

Sep 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medalliance Medical Health Services Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1558356741
  Medicare reassignment NPD
• Medical Board Prep Inc

  • Internal Medicine Physician
  • Belleville, NJ
  • NPI 1578861787
  Medicare reassignment
• Dr Hong S Pak MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Ridgefield, NJ
  • NPI 1205082146
  Authorized official Same address or phone
• Hong Pak MD Medical of Northern NJ LLC

  • Physical Medicine & Rehabilitation Physician
  • Fort Lee, NJ
  • NPI 1831658442
  Authorized official Same address or phone
• Hong S Pak MD PC

  • Medical Specialty Clinic/Center
  • Ridgefield, NJ
  • NPI 1043469224
  NPD (past) Authorized official
• Tristate Medical Care PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palisades Park, NJ
  • NPI 1053352468
  NPD (past) Authorized official
• Pak Hong Sik MD Medical Care PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1508325101
  Authorized official Same address or phone
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)
• The Back Pain Center, LLC

  • Specialist
  • Waldwick, NJ
  • NPI 1437256658
  NPD (past)
• Lehigh Valley Non-Surgical

  • Chiropractor
  • Allentown, PA
  • NPI 1407818123
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1427077056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LEMOINE AVE # 209",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246204",
            "telephone_number": "201-840-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LEMOINE AVE # 209",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246204",
            "telephone_number": "201-580-0725",
            "fax_number": "201-363-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "HONG",
        "middle_name": "SIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA071859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark F Ortiz, P.T.A.
• Ostelsen
• Elaine Sumire Otsuka, D.M.D.
• Painlessdds PC
• Gloria J Pak, PHARM D
• Neetha Devassy Palatty, RPH
• Palisade Anesthesia, LLC
• Palisade Plastic Surgery Associates PC
• Palisade Surgery Center LLC
• Palisades Dental Associates PC

• Physical Medicine & Rehabilitation Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.