JAYOUNG PAK (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1053464545

JAYOUNG PAK (M.D.) is a healthcare provider. based in Newark, New Jersey. specializing in Neurology with Special Qualifications in Child Neurology Physician. They hold the professional credentials M.D.. They hold a License No. 25MA05069000 (NJ). The NPI Number for JAYOUNG PAK (M.D.) is 1053464545

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
JAYOUNG PAK (M.D.)
NPI
1053464545
Phone
Not provided
Address
30 BERGEN ST
Enumeration Date
19 January 2007
Last Update Date
21 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9739822550
Graduation Year
1978 (48 years ago)
PAC ID
9638337843
Group Practice PAC ID
9830003417
Professional Enrollment ID
I20120220000530
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JAYOUNG PAK (M.D.)

  • 30, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States

    ADMC 12 1205

    NEWARK, NJ 071073000

    Phone:

    Type: Mailing

  • 90, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States

    SUITE 8100

    NEWARK, NJ 071032425

    Phone: (973) 972-9000

    Fax: (973) 972-2369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830003417View full group profile
NameSpecialtyState
-NJ
-NJ
Nephrology, Internal MedicineNJ
Interventional Radiology, Diagnostic RadiologyNJ
General SurgeryNJ
Vascular Surgery, General SurgeryNJ
P A T H O L O G YNY
Internal MedicineNJ
O T O L A R Y N G O L O G YNJ
Interventional Pain Management, AnesthesiologyNJ

Reviews

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Frequently asked questions

What federal number belongs to JAYOUNG PAK (M.D.)?
The federal identifier for JAYOUNG PAK (M.D.) is NPI 1053464545.
Is JAYOUNG PAK (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JAYOUNG PAK (M.D.)?
The page reflects Neurology with Special Qualifications in Child Neurology Physician for JAYOUNG PAK (M.D.). Clinical services aligned with this taxonomy classification.
Where is JAYOUNG PAK (M.D.)'s primary listing?
We display Newark, New Jersey because that is what the record indicates for JAYOUNG PAK (M.D.).
What if Newark, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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