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JENNY PAK
NPI 1174220636
Family Medicine in Philadelphia, PA

Active since February 14, 2023PECOS Enrolled
407 S 10TH ST STE 101, PHILADELPHIA, PA 19147(215) 585-2342 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenny Pak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY PAK (NPI 1174220636) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP026977) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174220636
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNY PAK
Location Address407 S 10TH ST STE 101Philadelphia, PA 19147-1274
Mailing Address1442 S Bouvier StPhiladelphia, PA 19146-4725 · (215) 760-9943
Phone(215) 585-2342
Sole ProprietorNo
Enumeration DateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1174220636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · SP026977
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
407 S 10TH ST STE 101, Philadelphia, PA 19147
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Pak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER KELLY LLC
Family Medicine
407 S 10TH ST STE 101
PHILADELPHIA, PA 19147
Philadelphia County (267) 223-0205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Pak's NPI number?

The NPI number for Jenny Pak is 1174220636. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Jenny Pak located?

Jenny Pak practices at 407 S 10th St Ste 101, Philadelphia, PA 19147. The listed phone number is (215) 585-2342.

What is Jenny Pak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jenny Pak enrolled in Medicare?

Yes. Jenny Pak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Pak was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.