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S J PAHNG MD PC NPI 1679776355


NPI Information

NPI: 1679776355
Provider Name: S J PAHNG MD PC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
21704 NORTHERN BLVD
SUITE 2
BAYSIDE, NY
ZIP 11361
Phone: (718) 353-6835
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S J PAHNG MD PC is a rehabilitation clinic center in Bayside, NY. S J PAHNG MD PC NPI is 1679776355. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21704 NORTHERN BLVD
SUITE 2
BAYSIDE, NY
ZIP 11361-577
Phone: (718) 353-6835
Fax: (718) 353-6854

The provider's authorized official is Sung J Pahng .
The authorized official title is President and has the following contact phone number (718) 353-6835.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 11/25/2014.


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
1225100000XPhysical TherapistNo
2261QP3300XClinic/CenterPain188371NEW YORKNo
3261QR0400XClinic/CenterRehabilitation188371NEW YORKYes

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
105609MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2G10968MEDICARE UPINNEW YORK

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.