| Joo Medical Center | |
|
388 Broad Ave Leonia NJ 07605 | |
| (201) 292-1567 | |
| (201) 585-0692 |
| Full Name | Joo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 388 Broad Ave, Leonia, New Jersey |
| Authorized Official Name and Position | Richard Joo (PRESIDENT) |
| Authorized Official Contact | 2015750999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joo Medical Center 388 Broad Ave Leonia NJ 07605 Ph: (201) 292-1567 | Joo Medical Center 388 Broad Ave Leonia NJ 07605 Ph: (201) 292-1567 |
| NPI Number | 1356885875 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 9234415688 |
|---|---|
| Medicare Enrollment ID | O20170419001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356885875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA080266 (New Jersey) | Primary |
| Provider Name | Richard Joo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851351282 PECOS PAC ID: 5193744159 Enrollment ID: I20080402000601 |
| Provider Name | Joo Jang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295349058 PECOS PAC ID: 6800216631 Enrollment ID: I20201016002419 |
| Provider Name | Juli Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174398689 PECOS PAC ID: 8224480405 Enrollment ID: I20240124000233 |
Richard Joo Md Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 388 Broad Ave, Leonia, NJ 07605 Phone: 201-292-1565 | |
Lorraine Volpe Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 512 Pine Hill Rd, Leonia, NJ 07605 Phone: 201-370-3771 |