Pak-Kan Albert Lo, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA04967300 Issued in NJ

Practice address

651 Willow Grove St
Hackettstown, NJ 07840-1799

Phone

(908) 850-6842

Fax

(908) 850-6840

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hackettstown Radiology Associates

  • Radiology Clinic/Center
  • Hackettstown, NJ
  • NPI 1982762142
  Authorized official Same address or phone
• Magnetic Imaging of Morris P.a.

  • Radiology Clinic/Center
  • MTN Lakes, NJ
  • NPI 1962499772
  NPD (past)
• West Morris Imaging P.a.

  dba MRI of West Morris PA

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Succasunna, NJ
  • NPI 1043207855

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780760694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 YORKSHIRE DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405606",
            "telephone_number": "908-813-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-850-6842",
            "fax_number": "908-850-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "PAK-KAN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04967300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0798207",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Linares
• Casimiera Liobe, APN
• Paul M. Littman, D.O.
• Live Fully Now Rehab and Wellness
• Living Dementia Well at Home Company
• James A Long Jr., LCSW
• Longa Health Services ,LLC
• Peter Waran Longa, MSN, APN-C, FNP
• Longevity Healthcare Associates
• Carolina Lopez, APN-C

• Diagnostic Radiology Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.