Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevin I Pak, MD

Sports Medicine (Physical Medicine & Rehabilitation) Physician in Jackson Heights, NY · enumerated 2006 · practices at Main Street Radiology at Bayside LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508922527

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Registry record

Entity type Individual (Type 1)

Name Kevin I Pak

Credential MD

Sex Male

Practice address 7206 Northern Blvd, 2nd Floor, Jackson Heights, NY, 11372

Phone (866) 670-6824

Fax (178) 533-1774

Enumeration date Dec 28, 2006

Last updated in NPPES Oct 9, 2025

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License MT184507 (PA) Secondary

2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 247616-B18 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
03143491	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kevin Pak?

Kevin Pak is registered in NPPES with the primary taxonomy of Sports Medicine (Physical Medicine & Rehabilitation) Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-09.