JAE YOON LEE (NPI# 1609984814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609984814 |
| Entity Type | Individual |
| Full Name | JAE YOON LEE |
| Credential | MD |
| Practice Address |
13124 Rockaway Blvd South Ozone Park NY 11420-2932 |
| Mailing Address |
518 Valleyview Pl Staten Island NY 10314-5535 |
| Practice Telephone | 7186597166 |
| Mailing Telephone | 7189839777 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2013-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
164410 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00995955 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336637586 | Jae Myung Lee | Counselor | 1166 S Elmhurst Rd, Mt Prospect, IL 60056-4241 | 2018-04-24 |
| 1477098887 | Jae Lee | Acupuncturist | 955 Armory Rd, Barstow, CA 92311-5461 | 2016-12-21 |
| 1346658192 | Jae Yong Lee | Dentist | 1111 River Road, G25, Edgewater, NJ 07020-1369 | 2014-07-24 |
| 1205241320 | Jae Lee | Acupuncturist | 12411 Osborne St, Unit 45, Pacoima, CA 91331-2000 | 2014-06-26 |
| 1386067155 | Jae S Lee | Acupuncturist | 14748 Roosevelt Ave Apt 1f, Flushing, NY 11354-4709 | 2014-01-29 |
| 1609217736 | Jae Bum Lee | Dentist | 401 S Glenoaks Blvd Ste 100, Burbank, CA 91502-2707 | 2013-07-17 |
| 1699026906 | Jae Hun Lee | Pharmacist | Providence St. Peter Hospital, 413 Lilly Road N.e., Department of Pharmacy, Olympia, WA 98506 | 2012-09-26 |
| 1306194279 | Jae Hun Lee | Acupuncturist | 1630 Pleasant Hill Rd Ste C2, Duluth, GA 30096-5899 | 2012-08-26 |
| 1629332812 | Jae Young Lee | Internal Medicine | 419 N. Harrison St, Princeton, NJ 08540-4089 | 2012-07-02 |
| 1366718934 | Jae Lee | Pharmacist | 25250 Pacific Highway S, Kent, WA 98032 | 2012-03-28 |
| Street Address |
13124 ROCKAWAY BLVD |
| City | SOUTH OZONE PARK |
| State | NY |
| Zip Code | 11420-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780538 | Anna Zhivotovsky II | Pediatrics | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2006-02-20 |
| 1588114797 | George Varghese | Pharmacist | 13124 Rockaway Blvd, Park Health Pharmacy, South Ozone Park, NY 11420-2932 | 2016-10-12 |
| 1255706578 | Nra Nutritional Consulting | Dietitian, Registered | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2015-12-11 |
| 1033583331 | Rc Medical Services PC | Clinic/Center | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2015-11-24 |
| 1568887388 | Chin Yeung Chan | Acupuncturist | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2014-03-03 |
| 1861828634 | Tuo Na Liang | Acupuncturist | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2013-09-24 |
| 1073949848 | Balance Art Acupuncture P.C. | Acupuncturist | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2013-09-24 |
| 1053667394 | South Queens Medical Group Pllc | Family Medicine | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2012-07-24 |
| 1316247752 | Adam I Cohen Dpt PC | Physical Therapist | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2010-11-02 |
| 1356664379 | Alexandra Yakubova | Physician Assistant | 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932 | 2010-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652934 | Elijah Roberto Tavarez | Counselor | 10810 Rockaway Blvd, South Ozone Park, NY 11420 | 2020-09-01 |
| 1285247353 | Carlene Evans | Counselor | 109 -18 Rockaway Blvd, Ozone Park, NY 11420 | 2020-08-28 |
| 1558973636 | Alisa Montgomery | Counselor | 108-19 Rockaway Blvd., South Ozone, NY 11420 | 2020-08-19 |
| 1194380451 | Janette Homecare of New York | Registered Nurse | 126-16 111th Avenue, South Ozone Park, NY 11420 | 2019-05-02 |
| 1255994364 | Jasoda Girdhari Ali | Physician Assistant | 132 12 Linden Blvd, South Ozone Park, NY 11420 | 2019-04-16 |
| 1144794553 | Levinia Melaram | Nurse Practitioner | 12234 149th Ave Fl 2, South Ozone Park, NY 11420 | 2019-01-18 |
| 1558848572 | Avinell Shane Abdool | Physician Assistant | 109-42-111th Street, South Ozone Park, NY 11420 | 2018-07-23 |
| 1427556703 | Shari Dimple Mohan | Specialist | 132-52 114 Street, South Ozone Park, NY 11420 | 2018-01-31 |
| 1831625375 | Yes We Can Speech Language Pathologist LLC | Case Management | 111-58 Leffert Blvd, 2f, South Ozone Park, NY 11420 | 2017-05-03 |
| 1992255350 | Community Cardiovascular Services, Pllc | Internal Medicine | 117-44, 122nd Street, South Ozone Park, NY 11420 | 2016-10-10 |
| Find all providers in zip 11420 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255350 | Community Cardiovascular Services, Pllc | Internal Medicine | 117-44, 122nd Street, South Ozone Park, NY 11420 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH OZONE PARK |
| Zip Code | 11420 |
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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.