GONGJA KIM LEE


Address: 506 Malcolm X Blvd, New York, NY 10037-1802
Phone: 2129398070

GONGJA KIM LEE (NPI# 1144379587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144379587
Entity Type Individual
Full Name GONGJA KIM LEE
Practice Address 506 Malcolm X Blvd
New York
NY 10037-1802
Mailing Address 153 12th St
Cresskill
NJ 07626-2403
Practice Telephone 2129398070
Mailing Telephone 2015690258
Enumeration Date 2007-01-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835X0200X Pharmacist
Specialization: Oncology 		028711 NY Pharmacy Service Providers

Office Location

Street Address 506 MALCOLM X BLVD
City NEW YORK
State NY
Zip Code 10037-1802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649258195 Daniel James Baker Emergency Medicine 506 Malcolm X Blvd, New York, NY 10037-1802 2006-01-05
1194246983 Sheldon Othneil Ferguson Internal Medicine 506 Malcolm X Blvd, New York, NY 10037-1802 2017-06-30
1912437070 David Benalcazar Almeida Student in an Organized Health Care Education/Training Program 506 Malcolm X Blvd, New York, NY 10037 2017-06-12
1043662299 Carlos Mares Student in an Organized Health Care Education/Training Program 506 Malcolm X Blvd, New York, NY 10037-1802 2016-07-11
1942652524 Jeff Anucha Student in an Organized Health Care Education/Training Program 506 Malcolm X Blvd, New York, NY 10037-1802 2016-07-07
1790137537 Fatima Jafri General Acute Care Hospital 506 Malcolm X Blvd, Harlem Hospital-depatment of Medicine, New York, NY 10037-1802 2016-07-05
1376907154 Flora Lisa Williams Physician Assistant 506 Malcolm X Blvd, New York, NY 10037-1802 2016-04-07
1669847778 Jean Michelet Jeanty Physician Assistant 506 Malcolm X Blvd, New York, NY 10037-1802 2015-12-01
1891170791 Merina Dongol Student in an Organized Health Care Education/Training Program 506 Malcolm X Blvd, New York, NY 10037-1802 2015-07-21
1366820433 Elma Hadzovic Physician Assistant 506 Malcolm X Blvd, New York, NY 10037-1802 2015-05-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770199986 Collaborative for Better Urban Health, LLC Case Management 15 West 139th Street, Apt. 3h, New York, NY 10037 2020-09-22
1295352524 Monisha Kanya Savarimuthu Student in an Organized Health Care Education/Training Program 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 2020-07-02
1396361283 Iman Mukhtar Student in an Organized Health Care Education/Training Program 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 2020-06-17
1982226296 Shivani Shrestha Student in an Organized Health Care Education/Training Program 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 2020-05-08
1326669359 Natan Katanov Student in an Organized Health Care Education/Training Program 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 2020-04-30
1699395053 Allie Chua Tan Student in an Organized Health Care Education/Training Program 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 2020-04-25
1619506896 Sherlon Orin Sinclair Student in an Organized Health Care Education/Training Program 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 2020-04-08
1841857166 Domingo Pena Student in an Organized Health Care Education/Training Program 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 2019-05-22
1588228308 Sebastian Cristobal Valdivieso Rueda Student in an Organized Health Care Education/Training Program 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 2019-04-26
1548726235 Michelle Len Moore Prosthetist 620 Lenox Ave, Suite 4c, New York, NY 10037 2019-02-18
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Taxonomy Information

Taxonomy Code 1835X0200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Oncology

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447865670 Scott Freeswick Pharmacist 1275 York Ave # H313, New York, NY 10065-6007 2020-09-14
1740803873 Robert Lewis Pharmacist 545 E 73rd St, New York, NY 10021-4003 2020-05-23
1831757772 Terry Kheng Pak Pharmacist 1275 York Ave Ste 712, New York, NY 10065-6007 2019-06-05
1427504000 Carmen Lau Pharmacist 1275 York Avenue Schwartz-710, New York, NY 10065 2016-09-01
1750705786 Joshua Pecoraro Pharmacist 1275 York Ave S-714, New York, NY 10065 2014-02-11
1740621341 Kefei Dai Pharmacist 1275 York Ave Bldg S-710, New York, NY 10065-6007 2013-07-11
1326363797 Alexandra M Lee Pharmacist 990 6th Ave, Apt 16j, New York, NY 10018-5419 2010-03-29
1992029508 Luisa Guzman Pharmacist 1483 1st Ave Apt 4e, New York, NY 10021-1309 2010-03-25
1174123731 Nouran Aboelregal Pharmacist 1470 Madison Ave Fl 4, New York, NY 10029-6542 2020-10-31
1871115113 Stephen Chen Pharmacist 1468 Madison Ave, New York, NY 10029-6508 2020-05-08
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Competitor

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City NEW YORK
Zip Code 10037

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Dataset Information

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.

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