JOHN HYUNG-IL LEE (NPI# 1154502045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154502045 |
| Entity Type | Individual |
| Full Name | JOHN HYUNG-IL LEE |
| Credential | M.D. |
| Practice Address |
43 Yawpo Ave Ste 2 Oakland NJ 07436-2717 |
| Practice Telephone | 2013370066 |
| Practice Fax Number | 2013377417 |
| Mailing Telephone | 5048424000 |
| Mailing Fax Number | 6012613530 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD2007018548 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
21970 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD.202601 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE PTAN | 302I113087 | 01 |
| LA | 1943312 | 05 | |
| MS | CIGNA | 9388251 | 01 |
| MS | HEALTHSPRING | 6057840 | 01 |
| MS | 05322806 | 05 | |
| MS | UNITED HEALTHCARE | 3461517 | 01 |
| MS | AETNA | 9034318 | 01 |
| MS | RAILROAD MEDICARE | P01109784 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169850 | John Lee | Acupuncturist | 14 E Homestead Ave, Palisades Park, NJ 07650-1533 | 2019-02-05 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1710409446 | John Hans Lee | Dentist | 23707 Highland Valley Rd, Diamond Bar, CA 91765-1167 | 2017-07-14 |
| 1750820700 | John Carlton Lee | Speech-Language Pathologist | 1261 N Laurel Ave Apt 3, West Hollywood, CA 90046-5131 | 2017-02-22 |
| 1154879401 | John Dongyeop Lee | Acupuncturist | 11 E 36th St Ste 901, New York, NY 10016-3368 | 2016-09-15 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1982071577 | John Jonghyun Lee | Physical Therapist | 2 River Street Ext Apt 10, Little Ferry, NJ 07643-1112 | 2015-08-31 |
| 1134511165 | John David Lee | Physical Therapy Assistant | 1552 Mariner Ct, Lakeland, FL 33803-4284 | 2015-02-27 |
| 1508261264 | John Keunhee Lee | Dentist | 3300 E 1st Ave Ste 580, Denver, CO 80206-5818 | 2014-10-23 |
| 1932549607 | John Jaewoo Lee | Dentist | 7599 Garth Rd Ste 800, Baytown, TX 77521-7720 | 2013-06-26 |
| Street Address |
43 YAWPO AVE STE 2 |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716359 | Noel Wiederhorn | Pediatrics | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2005-08-09 |
| 1407492879 | Monika K Niemiec | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2019-11-20 |
| 1548802739 | Shannon Morgan Linde | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2019-10-09 |
| 1144705328 | Kajal Gandhi | Internal Medicine | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2018-10-03 |
| 1346766094 | Sylvia Bucharowski | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2017-08-15 |
| 1215390083 | Taylor Shaker | Family Medicine | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2016-03-30 |
| 1669634333 | Perry Rogers Ricci | Chiropractor | 43 Yawpo Ave, Suite 6, Oakland, NJ 07436-2714 | 2008-06-25 |
| 1962625210 | Clayton Irving Bridges Jr. | Physician Assistant | 43 Yawpo Ave, Suite 3, Oakland, NJ 07436-2714 | 2007-04-11 |
| 1780734962 | Benjamin R Dispenziere | Obstetrics & Gynecology | 43 Yawpo Ave, Suite 4, Oakland, NJ 07436-2714 | 2007-01-11 |
| 1689738890 | Chong Yol Baik | Dentist | 43 Yawpo Ave, Suite 5, Oakland, NJ 07436 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417157652 | Mitul Kadakia | Internal Medicine | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2007-07-24 |
| 1407992001 | James Edward Lai | Internal Medicine | 365 Hawthorne Ave Ste 201, Oakland, CA 94609-3114 | 2007-01-30 |
| 1811047525 | Terrence C. Wong | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-01-12 |
| 1083788145 | William K Lee | Internal Medicine | 43 Yawpo Ave, Oakland, NJ 07436 | 2006-11-20 |
| 1104990266 | Navin Budhwani | Internal Medicine | 43 Yawpo Ave, Oakland, NJ 07436 | 2006-11-20 |
| 1720157167 | Ronald K. L. Szeto M.d. A Professional Corporation | Internal Medicine | 3100 Telegraph Ave, Suite 4103, Oakland, CA 94609-3210 | 2006-11-07 |
| 1295813079 | Robert A. Cooper | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1689752479 | Ralph G. Brindis | Internal Medicine | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-11-01 |
| 1588742381 | Garwood Gee | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1124108808 | David H Montgomery | Internal Medicine | 43 Yawpo Ave, Oakland, NJ 07436 | 2006-10-16 |
| Find all providers in OAKLAND | ||||
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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.