S J Pahng MD PC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

188371 Issued in NY

Legal business name

S J PAHNG MD PC

Practice address

21704 Northern Blvd
Suite 2
Bayside, NY 11361-3577

Phone

(718) 353-6835

Fax

(718) 353-6854

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sung J Pahng, M.D.

Title

President

Phone

(718) 353-6835

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1679776355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21704 NORTHERN BLVD",
            "address_2": "SUITE 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613577",
            "telephone_number": "718-353-6835",
            "fax_number": "718-353-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21704 NORTHERN BLVD",
            "address_2": "SUITE 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613577",
            "telephone_number": "718-353-6835",
            "fax_number": "718-353-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S J PAHNG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "PAHNG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-353-6835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "188371",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "188371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Rucker, RN
• Emelyn Mariana Ruiz Morales
• Joyce Theresa Ruocco
• Carolyn Ryan, PHDLICMPHILMABCBAD
• Stephanie Ryan, MS, SP.ED.
• S. Klein MD LLC
• S.R.Occupational & Massage Therapy,PC
• Carol Saenz-Santamaria
• Sage Minds Mental Health Counseling
• Vanessa Saint Louis

• Rehabilitation Clinic/Center in Bayside, NY
• Providers in Bayside, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.