JAYOUNG PAK M.D. NPI 1053464545

NPI Information

  • NPI: 1053464545
  • Provider Name: JAYOUNG PAK, M.D.
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • Address: 90 BERGEN ST
    SUITE 8100
    NEWARK, NJ
    ZIP 07103
  • Phone: (973) 972-9000

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NPI Details

Jayoung Pak, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Newark, NJ. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Jayoung Pak, M.D. NPI is 1053464545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 BERGEN ST
SUITE 8100
NEWARK, NJ
ZIP 07103-425
Phone: (973) 972-9000
Fax: (973) 972-2369

The enumeration date for this NPI number is 1/19/2007 and was last updated on 3/21/2016.

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
1208000000XPediatrics25MA05069000NEW JERSEYNo
22084N0600XPsychiatry & NeurologyClinical Neurophysiology25MA05069000NEW JERSEYNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology25MA05069000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15475708MEDICAIDNEW JERSEY
2740924MEDICARE PIN
3F54424MEDICARE UPINNEW JERSEY

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: 11/21/2025

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