DR. CHANG J LEE (NPI# 1023049533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023049533 |
| Entity Type | Individual |
| Full Name | DR. CHANG J LEE |
| Credential | MD |
| Practice Address |
350 Boulevard Passaic NJ 07055-2840 |
| Mailing Address |
Po Box 1258 Clifton NJ 07012-0758 |
| Practice Telephone | 9737797361 |
| Practice Fax Number | 9737797385 |
| Mailing Telephone | 9737797361 |
| Mailing Fax Number | 9737797385 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MA031813 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0769703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280349 | Chang Yong Lee | Acupuncturist | 7700 Orangethorpe Ave Ste 5, Buena Park, CA 90621-1217 | 2017-08-13 |
| 1811186687 | Chang Yeol Lee | Chiropractor | 445 Walnut St Ste 139, Richardson, TX 75081-5584 | 2007-10-17 |
| 1629268446 | Chang Mi Lee | Acupuncturist | 729 Barranca Dr Ste 100, Castle Rock, CO 80104-7418 | 2007-07-27 |
| 1811197536 | Chang Li Lee | Obstetrics & Gynecology | 399 E Highland Ave Ste 223, San Bernardino, CA 92404-3864 | 2007-07-20 |
| 1801002662 | Chang Hyok Lee | Dentist | 18305 Nw West Union Rd, Suite A, Portland, OR 97229-2173 | 2007-05-15 |
| 1093891483 | Chang Joon Lee | Specialist | 4811 Florence Ave, Bell, CA 90201-4316 | 2006-10-27 |
| 1154417871 | Chang Suk Lee | Internal Medicine | 38-05 Bowne St., Flushing, NY 11354 | 2006-10-04 |
| 1720182132 | Chang Su Lee | Anesthesiology | 169 Martin Avenue, Ephrata, PA 17522 | 2006-09-08 |
| 1962066100 | Chang Min Lee | Student in an Organized Health Care Education/Training Program | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2019-04-23 |
| 1417494162 | Chang Lee | Pharmacist | 303 Peachtree Center Ave Ne Ste 600, Atlanta, GA 30303-1277 | 2017-01-19 |
| Street Address |
350 BOULEVARD |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031370 | Nena L Sy | Specialist | 350 Boulevard, Passaic, NJ 07055-2840 | 2005-05-23 |
| 1851908297 | Capital Anesthesia Solutions of New Jersey, LLC | Nurse Anesthetist, Certified Registered | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-09-29 |
| 1144846130 | Jonathan Engelhardt | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1053937045 | Abshan Malik | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1154950053 | Jeffrey Alan Kantor | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-04-03 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1609415231 | Jane Lee | Specialist/Technologist, Other | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-12-30 |
| 1386208874 | Christopher Andrew Bergen | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-30 |
| 1962066076 | Kenny Luong | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-24 |
| 1336625425 | Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396702593 | Benjamin George | Anesthesiology | 211 Pennington Ave, Passaic, NJ 07055-4617 | 2006-05-01 |
| 1144201302 | Michael E. Rhodes | Anesthesiology | 165 Amsterdam Ave, Passaic, NJ 07055-2441 | 2005-11-07 |
| 1376842740 | Nandi Lee-ellis | Anesthesiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2011-03-24 |
| 1154576387 | Ramapo Valley Anesthesia Associates, LLC | Anesthesiology | 350 Boulevard, Anesthesia Dept, Passaic, NJ 07055-2840 | 2008-12-02 |
| 1700040482 | Madhu M Jotwani | Anesthesiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2008-07-11 |
| 1740444603 | Ifeyinwa Ekulide | Anesthesiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2008-07-10 |
| 1033384250 | Margaret J Wu | Anesthesiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2008-04-29 |
| 1164605663 | Sujatha Sukhavasi | Anesthesiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2007-12-07 |
| 1548312143 | Anesthesiology Associates of New Jersey, P.a. | Anesthesiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2007-01-17 |
| 1841392537 | George Thomas | Anesthesiology | 350 Boulevard, Passaic, NJ 07055-2840 | 2006-09-02 |
| Find all providers in PASSAIC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.