MR. JUNG SOO BAE (NPI# 1619297462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619297462 |
| Entity Type | Individual |
| Full Name | MR. JUNG SOO BAE |
| Credential | PTA, LMT |
| Practice Address |
24 Saw Mill River Rd Suite 204 Hawthorne NY 10532-1541 |
| Practice Telephone | 9146316969 |
| Practice Fax Number | 9146310943 |
| Mailing Telephone | 9146316969 |
| Mailing Fax Number | 9146310943 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 006279-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | 023459-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831462803 | Jung S Bae | Pharmacist | 17643 Sherman Way, #104, Van Nuys, CA 91406-3510 | 2012-02-21 |
| 1124119805 | Jung Moon Bae | Internal Medicine | 1245 Wilshire Blvd Ste 785, Los Angeles, CA 90017-4881 | 2006-09-27 |
| Street Address |
24 SAW MILL RIVER RD SUITE 204 |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922073410 | Nicole A. Solomos | Orthopaedic Surgery | 24 Saw Mill River Rd, Sutie 206, Hawthorne, NY 10532-1541 | 2006-02-20 |
| 1164912994 | Adela Cristina Igniska | Specialist/Technologist | 24 Saw Mill River Rd, Hawthorne, NY 10532-1541 | 2018-05-17 |
| 1568917581 | Rod Joseph Penalosa | Physical Therapist | 24 Saw Mill River Rd, Hawthorne, NY 10532-1541 | 2016-08-19 |
| 1972908374 | Irena Gazda | Physical Therapist | 24 Saw Mill River Rd, Hawthorne, NY 10532-1541 | 2014-10-28 |
| 1053666784 | Sorelis Rosa | Physical Therapist | 24 Saw Mill River Rd, Suite 204, Hawthorne, NY 10532-1541 | 2012-07-18 |
| 1811257314 | Ian Kinkel | Physical Therapist | 24 Saw Mill River Rd, Suite 204, Hawthorne, NY 10532-1541 | 2012-05-18 |
| 1558595702 | Jason Patrick Hochfelder | Orthopaedic Surgery | 24 Saw Mill River Rd, Hawthorne, NY 10532-1541 | 2009-05-02 |
| 1982877296 | Wagih Ibrahim | Physician Assistant | 24 Saw Mill River Rd, Suite 206, Hawthorne, NY 10532-1541 | 2008-04-08 |
| 1518139153 | Chitra Taneja | Physical Therapist | 24 Saw Mill River Rd, Suite 204, Hawthorne, NY 10532-1541 | 2008-03-24 |
| 1891999132 | Hudson Valley Hand Physical Therapy & Occupational Therapy Pllc | Occupational Therapist | 24 Saw Mill River Rd, Suite 204, Hawthorne, NY 10532-1541 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497988158 | Brittany Baxley | Massage Therapist | 114 Francis Ave, Hawthorne, FL 32640-5662 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JUNG SOO BAE.
| 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.