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

Kevin I Pak, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1508922527

Kevin I Pak, MD is a Physical Medicine and Rehabilitation in Jackson Heights, New York. Graduated from State University of New York Downstate Medical Center in 2004, 22 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
22
Trained at
State University of New York Downstate Medical Center
Licensed in
NY, PA
In the registry since
2006
Specialties on file
2
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

7206 Northern Blvd 2nd Fl
Jackson Heights, NY 11372-1049
Phone: (866) 670-6824
Fax: (178) 533-1774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 247616-B18 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence MT184507 (PA)

Record details

NPI number1508922527
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address7206 Northern Blvd, 2nd Floor, Jackson Heights, NY 11372-1049

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesSPORTS MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2004 (22 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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