DR. MIMI SHON LEE (NPI# 1487668521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487668521 |
| Entity Type | Individual |
| Full Name | DR. MIMI SHON LEE |
| Credential | MD |
| Practice Address |
686 Hamilton Ave Ridgefield NJ 07657-2633 |
| Practice Telephone | 2013204311 |
| Mailing Telephone | 2013204311 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA08050900 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912004664 | Mimi Cecilia Lee | Anesthesiology | Ucsf Department of Anesthesia, 505 Parnassus Avenue, Suite L-08, San Francisco, CA 94143-0001 | 2006-09-17 |
| 1164684973 | Mimi Shishou Lee | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-4402 | 2008-07-02 |
| 1366604829 | Mimi Joonyoung Lee | Dentist | 3915 Broadway, New York, NY 10032-1565 | 2008-06-26 |
| 1770767071 | Mimi Yun Lee | Emergency Medicine | 4150 V St, Pssb 2100, Sacramento, CA 95817-1460 | 2007-12-21 |
| 1942363494 | Mimi Lee | Social Worker | 4141 Geary Blvd Fl 3, San Francisco, CA 94118-3111 | 2006-12-18 |
| 1245284017 | Mimi Yung Lee | Pharmacist | 423 E 23rd St, Pharmacy/119, New York, NY 10010-5011 | 2006-05-19 |
| Street Address |
686 HAMILTON AVE |
| City | RIDGEFIELD |
| State | NJ |
| Zip Code | 07657-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508383308 | Ridgefield Board of Education | Respite Care | 555 Chestnut Street, Ridgefield, NJ 07657 | 2017-08-23 |
| 1871035154 | Nj Happy Care, Inc. | Durable Medical Equipment & Medical Supplies | 321 Broad Ave Suite 106, Ridgefield, NJ 07657 | 2016-11-17 |
| 1215203724 | Chan-kyu Kim | Dentist | 709 Bergen Blvd., Ridgefield, NJ 07657 | 2012-03-29 |
| 1871775940 | Borough of Ridgefield | Public Health or Welfare | Slocum Avenue, Ridgefield, NJ 07657 | 2007-11-30 |
| 1932321759 | Dongkyun Daniel Kim | Dentist | 321 Broad Ave Building F Unit # 5, Ridgefield, NJ 07657 | 2007-05-02 |
| 1992880413 | Walter E Haemmerle | Dentist | 845 Broad Ave, Ridgefield, NJ 07657 | 2006-10-25 |
| 1548279482 | Dennis Barbieri | Dentist | 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 | 2006-08-07 |
| 1861406746 | Agop Artinian | Internal Medicine | 477 Bergen Blvd, Ridgefield, NJ 07657 | 2006-07-28 |
| 1366969701 | Steven Jin | Acupuncturist | 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657 | 2017-08-26 |
| 1578000196 | Park Dental Arts, LLC | Dentist | 560 Bergen Blvd, Ridgefield, NJ 07657 | 2017-01-20 |
| Find all providers in zip 07657 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134103773 | Lucille Soldano | Radiology | 84 Nursery Rd, Ridgefield, CT 06877-3527 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427297 | Universal Diagnostics Solutions | Radiology | 992 Clifton Ave Fl 1, Clifton, NJ 07013-3502 | 2020-04-28 |
| 1841826567 | Mercer Diagnostic Imaging, LLC | Radiology | 1245 Whitehorse Mercerville Rd Ste 403, Hamilton, NJ 08619-3831 | 2020-03-13 |
| 1225678352 | Jefferson University Radiology Associates, LLC | Radiology | 243 Hurffville Crosskeys Rd, Sewell, NJ 08080-4011 | 2020-01-07 |
| 1982240248 | Edison Medical Imaging | Radiology | 1907 Oak Tree Rd Ste 101, Edison, NJ 08820-2070 | 2019-11-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1891269254 | Middletown Radiology LLC | Radiology | 1270 Rte 35 Ste 3, Middletown, NJ 07748-2014 | 2019-01-17 |
| 1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
| 1598240285 | Advanced Women Imaging Professional Association | Radiology | 560a 60th St, West New York, NJ 07093-1487 | 2018-09-27 |
| 1376034520 | Sonoview Imaging LLC | Radiology | 5600 Kennedy Blvd W Ste 108, West New York, NJ 07093-1256 | 2018-05-23 |
| 1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
| Find all providers with the same taxonomy | ||||
| City | RIDGEFIELD |
| Zip Code | 07657 |
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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.