YOUNGICK LEE (NPI# 1306891031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306891031 |
| Entity Type | Individual |
| Full Name | YOUNGICK LEE |
| Credential | MD |
| Practice Address |
145 Prospect St Ridgewood NJ 07450 |
| Practice Telephone | 2016523641 |
| Practice Fax Number | 2016527436 |
| Mailing Telephone | 2016523641 |
| Mailing Fax Number | 2016527436 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MA32682 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 00467625 | 05 |
| Street Address |
145 PROSPECT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695015 | Homayoon Hatefi | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450 | 2006-03-31 |
| 1134463409 | Lsa Surgery & Consultation PC | Clinic/Center | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2012-11-26 |
| 1053621318 | M.a. Ferrer Physical Therapy LLC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-10-20 |
| 1972817955 | Orthosports and Spine Physical Therapy PC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-08-02 |
| 1346426087 | Homayoon Hatefi M.d. Pa | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2008-01-11 |
| 1558484923 | Marie Angelie Ferrer | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2007-04-09 |
| 1649386020 | Michael Peter Gentile Sr. | Psychiatry & Neurology | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-08-21 |
| 1699704536 | North Jersey Surgical Associates, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-07-02 |
| 1477502078 | New Jersey Breast Diagnostic Center, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-05-09 |
| 1972565984 | Nino J Carnevale | Surgery | 145 Prospect St, Ridgewood, NJ 07450 | 2006-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962895680 | Usa Professional Medical Services of New York LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5920 Myrtle Ave, Ridgewood, NY 11385-5658 | 2015-03-05 |
| 1235326612 | Naweed Kamran Majid | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 257 E Ridgewood Ave, Suite 302, Ridgewood, NJ 07450-3886 | 2007-09-28 |
| 1144459991 | Columbia Doctors of New Jersey, P. C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2009-07-14 |
| 1871504217 | The Trustees of Columbia University In The City of New York | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2006-08-10 |
| 1992797542 | Juan B Grau | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073057543 | Mohamed Abbassi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 91 Goodwin Dr, North Brunswick, NJ 08902-4273 | 2016-12-18 |
| 1578975520 | Kennedy Medical Group Practice, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 485 Williamstown Road, Sicklerville, NJ 08081 | 2014-05-27 |
| 1770913782 | Advanced Cardiovascular Specialists LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12 Brown Ct, Livingston, NJ 07039-1520 | 2013-11-13 |
| 1346687647 | Leonid Emerel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 54 Mccampbell Rd, Holmdel, NJ 07733-2229 | 2013-05-28 |
| 1477899607 | Hudson Cardiothoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4 Bucks Mill Ln, Holmdel, NJ 07733-1756 | 2012-12-16 |
| 1801194659 | Mamsurg Thoracic Surgery LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4013 Us Highway 9, Howell, NJ 07731-4021 | 2011-03-03 |
| 1538472873 | Ronald E Ross | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Trenton Rd - Deborah Heart & Lung Center, Mid Atlantic Surgical Associates, Browns Mills, NJ 08015 | 2010-07-15 |
| 1962727644 | Benjamin Van Boxtel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mid-atlantic Surgical Associates, 100 Madison Avenue, Morristown, NJ 07960 | 2010-04-06 |
| 1699003145 | Douglas Joseph Dipaola | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Fullerton Rd, Moorestown, NJ 08057-1926 | 2009-11-20 |
| 1770810749 | James Clark Hart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 37 Hurlingham Club Rd, Far Hills, NJ 07931-2479 | 2009-11-11 |
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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.