DR. JEREMIAH PACK M.D. NPI 1659647287

NPI Information

NPI: 1659647287
Provider Name: DR. JEREMIAH PACK, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Address:
550 FIRST AVENUE
NYU LANGONE MEDICAL CENTER
NEW YORK, NY
ZIP 10016
Phone: (212) 263-5506
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DR. Jeremiah Pack, M.D. is a neuroradiology radiology in New York, NY. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Jeremiah Pack, M.D. NPI is 1659647287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

550 FIRST AVENUE
NYU LANGONE MEDICAL CENTER
NEW YORK, NY
ZIP 10016
Phone: (212) 263-5506

The enumeration date for this NPI number is 3/28/2012 and was last updated on 1/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	A148410	CALIFORNIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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