| Soo G Lee, MD | |
|
15 Vervalen St, Closter, NJ 07624-2635 | |
| (201) 784-3600 | |
| (201) 784-5677 |
| Full Name | Soo G Lee |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 15 Vervalen St, Closter, 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 |
|---|---|---|---|
| 1679508048 | NPI | - | NPPES |
| 9116508 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07426600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Englewood Hospital | Englewood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of Englewood Pc | 1355512252 | 538 |
| Entity Name | Medical Associates of Englewood PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Soo G Lee, MD 645 Westwood Ave Fl 2, Rivervale, NJ 07675-6238 Ph: (201) 358-6774 | Soo G Lee, MD 15 Vervalen St, Closter, NJ 07624-2635 Ph: (201) 784-3600 |
Dr. Jihyun Lee, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 15 Ver Valen St Ste 2, Closter, NJ 07624 Phone: 201-784-3600 |
Dr. Charles L Sprung, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12 N Star Rd, Closter, NJ 07624 Phone: 201-768-8816 |
Dr. Zahid A Farooki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Ruckman Rd, Closter, NJ 07624 Phone: 201-385-6161 Fax: 201-385-1671 |