MEDICARE: REGINA L PAKALNIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	06819100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689645954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA L PAKALNIS MD

Provider Business Mailing Address
First Line	:	PO BOX 26960
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-6960
Country	:	US
Telephone Number	:	908-769-1084
Fax Number	:	908-769-4139

Provider Business Practice Location Address
First Line	:	PO BOX 26960
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-6960
Country	:	US
Telephone Number	:	908-769-1084
Fax Number	:	908-769-4139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	06/04/2021

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