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

Yong Woo Pak, FNP

Individual provider Family Nurse Practitioner · NPI 1437738986

Yong Woo Pak, FNP is a Nurse Practitioner in Flushing, New York. Qualified in 2021, 5 years ago. Practices with Prominis Medical Services PC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

13818 28th Rd Apt 2B
Flushing, NY 11354-1836
Phone: (646) 280-8317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F34733301 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F347333-01 (NY)

Record details

NPI number1437738986
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 2, 2021
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prominis Medical Services Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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