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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835X0200X |
Pharmacist Specialization: Oncology |
028711 | NY | Pharmacy Service Providers |
Street Address |
506 MALCOLM X BLVD |
City | NEW YORK |
State | NY |
Zip Code | 10037-1802 |
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 |
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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 |
Find all providers in zip 10037 |
Taxonomy Code | 1835X0200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Oncology |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
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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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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.