GLORIA PAK CPNP NPI 1659891042

NPI Information

NPI: 1659891042
Provider Name: GLORIA PAK, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1065 SOUTHERN BLVD
BRONX, NY
ZIP 10459
Phone: (718) 589-2440
Get Directions

Gloria Pak, CPNP is a pediatrics nurse practitioner in Bronx, NY. Gloria Pak, CPNP NPI is 1659891042. 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:

1065 SOUTHERN BLVD
BRONX, NY
ZIP 10459-417
Phone: (718) 589-2440

The NPI 1659891042 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 4/11/2018.

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	163W00000X	Registered Nurse		713794	NEW YORK	No
2	363LP0200X	Nurse Practitioner	Pediatrics	382836	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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