Pak, Jayoung
Pak, Jayoung is an individual health care provider with primary practice located at 90 Bergen St Suite 8100, Newark NJ 07103-2425. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Pak, Jayoung can be contacted via phone (973) 972-9000.Contact Information
Primary practice address
90 Bergen St Suite 8100
Newark NJ 07103-2425
Phone: (973) 972-9000
Fax: (973) 972-2369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA05069000 | New Jersey |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 25MA05069000 | New Jersey |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 25MA05069000 | New Jersey |
Profile Details
| NPI number | 1053464545 |
|---|---|
| LBN Legal business name | Pak, Jayoung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Mar 21st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053464545 | NPPES |
| New Jersey | MEDICAID | 5475708 |
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