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S J PAHNG MD PC
NPI 1679776355
Clinic/Center - Rehabilitation in Bayside, NY

Active since June 08, 2007
21704 NORTHERN BLVD, SUITE 2, BAYSIDE, NY 11361(718) 353-6835(718) 353-6854 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About S J Pahng Md Pc NPPES

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

S J PAHNG MD PC (NPI 1679776355) is a healthcare organization registered as a rehabilitation in Bayside, New York and active in the NPI registry since June 2007. The organization lists Sung J Pahng, President, as its authorized official.

NPPES Registry Identity

NPI1679776355
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameS J PAHNG MD PC
Location Address21704 NORTHERN BLVD, SUITE 2Bayside, NY 11361-3577
Mailing Address21704 Northern Blvd, Suite 2Bayside, NY 11361-3577 · (718) 353-6835 · Fax (718) 353-6854
Phone(718) 353-6835
Fax(718) 353-6854
Organization SubpartNo
Authorized OfficialSung J PahngPresident · (718) 353-6835
Enumeration DateJune 8, 2007
Last NPPES UpdateNovember 25, 2014
✔ NPI 1679776355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in NY · 188371
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License 188371 (NY)
21704 NORTHERN BLVD, Bayside, NY 11361
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Other Identifiers 2

Medicare ID-Type Unspecified05609NY
Medicare UPING10968NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

EILEEN CAROL TRAVIS LCSW
Social Worker (Clinical)
21704 NORTHERN BLVD
BAYSIDE, NY 11361
Queens County (718) 423-7371
MS. BETH LAZARUS LCSW
Social Worker (Clinical)
21704 NORTHERN BLVD, SUITE 29
BAYSIDE, NY 11361
Queens County (718) 423-7371

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 S J Pahng MD PC's NPI number?

The NPI number for S J Pahng MD PC is 1679776355. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is S J Pahng MD PC located?

S J Pahng MD PC is located at 21704 Northern Blvd Suite 2, Bayside, NY 11361. The listed phone number is (718) 353-6835.

What is S J Pahng MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for S J Pahng MD PC was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.