Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daod Nidal Pak, MD

Individual provider Neurology Physician · NPI 1063040806

Daod Nidal Pak, MD is a Neurology in Lake Grove, New York. Qualified in 2020, 6 years ago. Practices with Neurology Associates of Stony Brook, University Faculty Practice Corpo, a 57-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4 Smith Haven Mall Ste 105
Lake Grove, NY 11755-1219
Phone: (631) 444-2599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 327970 (NY)

Record details

NPI number1063040806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESJuly 6, 2025
Certification dateJuly 6, 2025
Mailing address101 Nicolls Road, Hsc T12/020, Stony Brook, NY 11794-8121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Neurology Associates Of Stony Brook, University Faculty Practice Corpo — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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