SOUTH SHORE HEAD & NECK SURGERY MD., PC. (NPI# 1013268333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013268333 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE HEAD & NECK SURGERY MD., PC. |
| Other Organization Name | MOO YOUNG JUN, MD |
| Practice Address |
135 Rockaway Turnpike Suite 106 Lawrence NY 11559-1023 |
| Mailing Address |
132 Seaman Avenue Rockville Centre NY 11570-3233 |
| Practice Telephone | 5162393225 |
| Practice Fax Number | 5167643127 |
| Mailing Telephone | 5167643732 |
| Mailing Fax Number | 5167643127 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | DR. MOO YOUNG JUN (OWNER) |
| Authorized Official Telephone | 5167643732 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 117557 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00218171 | 05 |
| Other Name | Type Code |
|---|---|
| Moo Young Jun, MD | Doing Business As Name - Organization |
| Street Address |
135 ROCKAWAY TURNPIKE SUITE 106 |
| City | LAWRENCE |
| State | NY |
| Zip Code | 11559-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336245604 | Moo Young Jun | Surgery | 135 Rockaway Turnpike, Lawrence, NY 11559 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310362 | Marlee Katz | Specialist | 26 Sealy Dr, Lawrence, NY 11559 | 2019-01-13 |
| 1184000374 | Rebecca Beiss | Speech-Language Pathologist | 40 Stevens Place, Lawrence, NY 11559 | 2015-08-11 |
| 1114268620 | Gegendeep Kaur Chawla | Occupational Therapist | 219 Spring St, Lawrence, NY 11559 | 2013-03-07 |
| 1972872810 | Esther P Adler | Occupational Therapist | 227 Juniper Cir S, Lawrence, NY 11559 | 2011-12-21 |
| 1790068229 | Elisheva Listhaus | Speech-Language Pathologist | 70 Causeway, Lawrence, NY 11559 | 2011-09-21 |
| 1073803367 | Michele Golub Seelenfreund | Occupational Therapist | 15 Sealy Drive, Lawrence, NY 11559 | 2011-04-08 |
| 1306153804 | Benjamin Z. Weiss | Psychologist | 360 Central Avenue-suite 110, Suite 110, Lawrence, NY 11559 | 2010-09-03 |
| 1497900203 | Sharon Miriam Moerman | Speech-Language Pathologist | 240 Juniper Circle East, Lawrence, NY 11559 | 2008-11-20 |
| 1134376569 | Shifra Eisig | Dietitian, Registered | 43 Herrick Drive, Lawrence, NY 11559 | 2008-08-27 |
| 1710102306 | Mark Billet | Dentist | 290 Central Avenue, 208, Lawrence, NY 11559 | 2007-04-17 |
| Find all providers in zip 11559 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275795312 | Noel H. Kleppel | Surgery | 85 Merrall Dr, Lawrence, NY 11559-1518 | 2008-06-30 |
| 1962526764 | Muto Thoracic Clinic Incorporated | Surgery | 100 Amesbury Street, Suite 113, Lawrence, MA 01840 | 2007-03-19 |
| 1336245604 | Moo Young Jun | Surgery | 135 Rockaway Turnpike, Lawrence, NY 11559 | 2006-09-15 |
| 1871540195 | Ralph Han Park | Surgery | 330 Arkansas St Ste 202, Lawrence, KS 66044-1394 | 2006-05-30 |
| 1568460483 | Jonathan K Gordon | Surgery | 100 Amesbury St, Suite 113, Lawrence, MA 01840-1321 | 2005-07-13 |
| 1861499287 | Stephen W Myrick | Surgery | 1112 W 6th St Ste 109, Lawrence, KS 66044-2249 | 2005-06-30 |
| 1477550804 | Dale Patrick Denning | Surgery | 1112 W 6th St Ste 210, Lawrence, KS 66044-2249 | 2005-06-30 |
| 1790781375 | Neysa I Valentin-capeles | Surgery | 275 Rockaway Tpke, Lawrence, NY 11559 | 2005-06-28 |
| 1528603719 | Lawrence Physicians LLC | Surgery | 6265 Rock Chalk Dr, Suite 2400, Lawrence, KS 66049 | 2019-11-12 |
| 1356758502 | Lawrence Physicians LLC | Surgery | 330 Arkansas St, Suite 202, Lawrence, KS 66044-1335 | 2014-07-21 |
| Find all providers in LAWRENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.