| Yongsoo Lee, NP-C | |
|
291 Liberty St Apt 49, Little Ferry, NJ 07643-1368 | |
| (316) 708-9379 | |
| Not Available |
| Full Name | Yongsoo Lee |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 291 Liberty St Apt 49, Little Ferry, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356971246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ01009600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Englewood Hospital And Medical Center | Englewood, NJ | Hospital |
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Haledon Medical, Pc | 0345299947 | 9 |
| Villagehealth Dm Llc | 2769812445 | 132 |
| Christian Kim Md, Pc | 8820366040 | 4 |
| Villagehealth Dm Llc | 2769812445 | 132 |
| Entity Name | North Haledon Medical, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624088 PECOS PAC ID: 0345299947 Enrollment ID: O20050121000032 |
| Entity Name | Christian Kim Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639603244 PECOS PAC ID: 8820366040 Enrollment ID: O20170612002898 |
| Entity Name | Villagehealth Dm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20200429001438 |
| Mailing Address | Practice Location Address |
|---|---|
| Yongsoo Lee, NP-C 291 Liberty St Apt 49, Little Ferry, NJ 07643-1368 Ph: (316) 708-9379 | Yongsoo Lee, NP-C 291 Liberty St Apt 49, Little Ferry, NJ 07643-1368 Ph: (316) 708-9379 |
Karen Orland, RN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Redneck Ave Ste 4, Little Ferry, NJ 07643 Phone: 201-641-3115 | |
Mr. Omar Gurban, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 462a Liberty Street, Unit 201, Little Ferry, NJ 07643 Phone: 347-400-2985 | |
Ms. Marjorie Christian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 268 Waterside Dr, Little Ferry, NJ 07643 Phone: 201-927-7163 |