MR. PETER JEONG (NPI# 1619299872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619299872 |
| Entity Type | Individual |
| Full Name | MR. PETER JEONG |
| Credential | CNP |
| Practice Address |
52 Duane St Advantage Care Physicians New York NY 10007-1207 |
| Practice Telephone | 7186804693 |
| Practice Fax Number | 6467516909 |
| Mailing Telephone | 7186804693 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.11203-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F340501-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.11203 -NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538391750 | Peter Taejoo Jeong | Chiropractor | 7960 Donegan Dr Ste 233, Manassas, VA 20109-8236 | 2009-08-20 |
| 1578616181 | Peter Jeong | Dentist | 75 S Milpitas Blvd Ste 212, Milpitas, CA 95035-5467 | 2007-01-18 |
| Street Address |
52 DUANE ST ADVANTAGE CARE PHYSICIANS |
| City | NEW YORK |
| State | NY |
| Zip Code | 10007-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205287 | General Vision Services LLC | Preferred Provider Organization | 52 Duane St, New York, NY 10007-1207 | 2006-11-28 |
| 1689131328 | Stephanie Neve | Pharmacist | 52 Duane St, New York, NY 10007-1207 | 2019-03-01 |
| 1881147924 | Emblemhealth Services Company | Pharmacy | 52 Duane St, New York, NY 10007-1207 | 2016-07-25 |
| 1376857631 | Chrysoula Kouvaros | Pharmacist | 52 Duane St, New York, NY 10007-1207 | 2010-07-28 |
| 1265665616 | Katherine C Farrell Harris | Dietitian, Registered | 52 Duane St, New York, NY 10007-1207 | 2009-09-02 |
| 1003951187 | Lisa Shah | Podiatrist | 52 Duane St, New York, NY 10007-1207 | 2007-02-20 |
| 1295885499 | Steve Menna Dpm PC | Podiatrist | 52 Duane St, New York, NY 10007-1207 | 2007-01-11 |
| 1871669192 | Catherine B. O'donnell | Optometrist | 52 Duane St, New York, NY 10007-1207 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330807 | Ny Orthopedics PC | Orthopaedic Surgery | 110 Duane Street, New York, NY 10007 | 2020-03-11 |
| 1114434842 | Sangyoon Kim | Physical Therapist | 30 Vesey St Rm 1803, New York, NY 10007 | 2018-01-03 |
| 1194241992 | Murray Health Supplies | Durable Medical Equipment & Medical Supplies | 14 Murray St., #127, New York, NY 10007 | 2017-08-15 |
| 1255787743 | Highline Orthopaedics | Orthopaedic Surgery | 16 Park Place, New York, NY 10007 | 2016-05-13 |
| 1255786331 | Park Place Podiatry Pllc | Podiatrist | 291 Broadway Ste 810, New York, NY 10007 | 2016-04-26 |
| 1801277629 | City Medical of Upper East Side, Pllc | Clinic/Center | 87 Chambers Street, New York, NY 10007 | 2015-06-17 |
| 1760723191 | Mekhla Varma | Pediatrics | 15 Warren St, New York, NY 10007 | 2013-03-11 |
| 1023368545 | Karen Leung | Nurse Practitioner | 281 Broadway Fl 2, New York, NY 10007 | 2012-09-12 |
| 1275808669 | Mcc-ny | Clinic/Center | 150 Park Row, Nyc, NY 10007 | 2012-03-19 |
| 1235447509 | Cara Lauren Goldberg | Speech-Language Pathologist | 49-51 Chambers Street, 6th Floor, New York, NY 10007 | 2010-09-20 |
| Find all providers in zip 10007 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
| Find all providers in NEW YORK | ||||
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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.