JEONG MI PAK APRN NPI 1174097331

NPI Information

  • NPI: 1174097331
  • Provider Name: JEONG MI PAK, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11-13 SUNFLOWER AVE
    PARAMUS, NJ
    ZIP 07652
  • Phone: (855) 505-2880

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NPI Details

Jeong Mi Pak, APRN is a psychiatric/mental health nurse practitioner in Paramus, NJ with 8 years of experience. Jeong Mi Pak, APRN NPI is 1174097331. 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:

11-13 SUNFLOWER AVE
PARAMUS, NJ
ZIP 07652-700
Phone: (855) 505-2880

The NPI 1174097331 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Psychotherapy with evaluation and management visit, 45 minutes (HCPCS:90836)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)

The enumeration date for this NPI number is 1/21/2019 and was last updated on 3/19/2023.

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
1363LF0000XNurse PractitionerFamily816263NEVADANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health26NJ01120900NEW JERSEYNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health11005195FLORIDANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health8209CONNECTICUTYes

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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