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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053464545 NPPES
New Jersey MEDICAID 5475708

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