| Dr Soomyung Lee, MD | |
|
223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | |
| (201) 847-9403 | |
| Not Available |
| Full Name | Dr Soomyung Lee |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Critical Care Medicine |
| Location | 223 N Van Dien Ave, Ridgewood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740246867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MA46296 (New Jersey) | Secondary |
| 207LC0200X | Anesthesiology - Critical Care Medicine | MA46296 (New Jersey) | Primary |
| Entity Name | Bergen Anesthesia Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194816249 PECOS PAC ID: 6608861794 Enrollment ID: O20040419000098 |
| Entity Name | Valley Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Soomyung Lee, MD 145 Ashley Pl, Park Ridge, NJ 07656-2608 Ph: (201) 391-5838 | Dr Soomyung Lee, MD 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 Ph: (201) 847-9403 |
Erik Wohlfarth, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-847-9320 | |
Evelyn Bae, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-847-9320 | |
Jennifer Souh, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-847-9320 | |
Dr. John P Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Dr. Joseph Michael Aloi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Dr. Richard F Iannacone, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: Valley Hospital, 233 Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Dr. Thomas Johnson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-847-9320 |