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

Dr. Jeremiah Pack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659647287

Dr. Jeremiah Pack, MD is a Student in an Organized Health Care Education/Training Program in New York, New York. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

New York, NY

No coordinates on file. Search this address in Google Maps

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence A148410 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659647287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESJanuary 30, 2021
Certification dateJanuary 30, 2021

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