Soon R. Pak, L.AC., R.N.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002792 Issued in NY

Practice address

20105 Northern Blvd
Bayside, NY 11361-2563

Phone

(718) 423-8046

Fax

(718) 423-4907

NPI assigned

Feb 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1851530794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20105 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612563",
            "telephone_number": "718-423-8046",
            "fax_number": "718-423-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20105 NORTHERN BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612563",
            "telephone_number": "718-423-8046",
            "fax_number": "718-423-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "SOON",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "L.AC., R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "390528",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Paccione, PHARMD
• Pace & Spindler, MD
• Kee S Paek, M.D.
• Sung J Pahng, M.D.
• Esther Pak, L.AC.
• Acacia Palmer, LCSW
• Katherine Palmisano, N.P.
• Panagiotis Zenetos Physician PC
• Panagiotis Zenetos Physician, PC
• Peter Steven Panagos, PTA

• Acupuncturist in Bayside, NY
• Providers in Bayside, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.