| Song Eun Lee, MD | |
|
1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952 | |
| (201) 612-9600 | |
| (201) 612-0428 |
| Full Name | Song Eun Lee |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 30 Years |
| Location | 1200 E Ridgewood Ave, Ridgewood, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972747749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 25MA09694900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clara Maass Medical Center | Belleville, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Retina Consultants, Pa, Ii | 8729033816 | 5 |
| Entity Name | Retina Consultants, Pa, Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215906169 PECOS PAC ID: 8729033816 Enrollment ID: O20130116000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Song Eun Lee, MD 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952 Ph: (201) 612-9600 | Song Eun Lee, MD 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952 Ph: (201) 612-9600 |
Murray A Wolkstein, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 200 S Broad St Unit B, Ridgewood, NJ 07450 Phone: 201-445-6622 Fax: 201-445-0262 | |
Dr. Kiran Bhagwan Amesur, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450 Phone: 201-857-4751 Fax: 201-857-4752 | |
Dr. Rony Gelman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-612-9600 | |
Dr. Lisa Marie Gudicello, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 440 Northern Pkwy, Ridgewood, NJ 07450 Phone: 201-220-2654 Fax: 201-220-2654 | |
Dr. Larisa Kayserman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-612-9600 Fax: 201-612-0428 | |
Dr. Anne R Sumers, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1200 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-612-0044 Fax: 201-612-9446 | |
Dr. Boyd H Seidenberg, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-447-2700 Fax: 201-447-5775 |