| Ms Eun Ju Lee, | |
|
2100 Linwood Ave Apt 14d, Fort Lee, NJ 07024-3140 | |
| (201) 315-2296 | |
| Not Available |
| Full Name | Ms Eun Ju Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2100 Linwood Ave Apt 14d, Fort Lee, 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 |
|---|---|---|---|
| 1841777299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F339115 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divinity Medical Services Pllc | 5193030245 | 85 |
| Entity Name | Divinity Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Eun Ju Lee, 2100 Linwood Ave Apt 14d, Fort Lee, NJ 07024-3140 Ph: (718) 640-7045 | Ms Eun Ju Lee, 2100 Linwood Ave Apt 14d, Fort Lee, NJ 07024-3140 Ph: (201) 315-2296 |
Inae Lim, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1608 Lemoine Ave Ste 203, Fort Lee, NJ 07024 Phone: 201-944-8400 | |
Cecilia Chan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Anderson Ave, Fort Lee, NJ 07024 Phone: 201-321-6292 | |
Jerica Rikard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Executive Dr Apt 221, Fort Lee, NJ 07024 Phone: 731-803-3433 | |
Kim Giblin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 Palisade Ave, Fort Lee, NJ 07024 Phone: 201-363-8871 | |
Anatoly Maloletkin, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2185 Lemoine Ave Ste 1h, Fort Lee, NJ 07024 Phone: 888-701-6472 | |
Sarah Shin Young Kim, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Park Ave Apt 2201, Fort Lee, NJ 07024 Phone: 818-521-2193 | |
Jacques Myriama Lucien, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 800 Park Ave, Fort Lee, NJ 07024 Phone: 908-659-6250 |