Hong Pak MD Medical of Northern NJ LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

HONG PAK MD MEDICAL OF NORTHERN NJ LLC

Practice address

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

Phone

(201) 580-0725

Fax

(201) 363-8822

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Managing Member

Phone

(201) 840-5055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1831658442",
    "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": {
        "organization_name": "HONG PAK MD MEDICAL OF NORTHERN NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-840-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Counseling and Psychotherapy LLC
• Gina Otilia Heredea, P.T.
• Michael Hernandez, M.D.
• Briana Nicole Hidalgo
• Jacqueline Hollywood, M.D.
• Eunseo Hong
• Joon H. Hong, DDS
• Joseph S Hong, MD
• Sae Ahm Hong
• Michael Hopman, D.M.D.

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.