JOO MEDICAL CENTER (NPI# 1356885875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356885875 |
| Entity Type | Organization |
| Organization Name | JOO MEDICAL CENTER |
| Practice Address |
388 Broad Ave Leonia NJ 07605 |
| Practice Telephone | 2012921567 |
| Practice Fax Number | 2015850692 |
| Mailing Telephone | 2012921567 |
| Mailing Fax Number | 2015850692 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | DR. RICHARD JOO (PRESIDENT) |
| Authorized Official Telephone | 2015750999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA080266 | NJ | Ambulatory Health Care Facilities |
| Street Address |
388 BROAD AVE |
| City | LEONIA |
| State | NJ |
| Zip Code | 07605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255739124 | Lauren Yim Lee | Nurse Practitioner | 388 Broad Ave, Leonia, NJ 07605-1715 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215459862 | Julie J Park | Acupuncturist | 113 Kingsley Street, Apt 2f, Leoni, NJ 07605 | 2017-07-14 |
| 1669894838 | Jinha Park | Physical Therapist | 135 Fort Lee Rd Ste 104, Leonia, NJ 07605 | 2014-01-07 |
| 1881956852 | Drama for Healing, LLC | Community/Behavioral Health | 127 Christie Street, 1st Floor, Leonia, NJ 07605 | 2012-06-14 |
| 1740566058 | Jacqueline Juele-schuster | Nurse Practitioner | 471 Broad Avenue, Leonia, NJ 07605 | 2011-11-01 |
| 1083914279 | Dohyang Lee | Nurse Practitioner | 600 Grand Ave., Leonia, NJ 07605 | 2010-10-22 |
| 1912052390 | Zelick Block | Psychologist | 189 Moore Ave, Leonia, NJ 07605 | 2007-01-24 |
| 1942360599 | Tae Yul Choi | Dentist | 110 Broad Ave, Leonia, NJ 07605 | 2006-12-12 |
| 1124321914 | Hae Sun Lee | Acupuncturist | 536 Nordhoff Dr, Leonia, NJ 07605-1012 | 2010-12-16 |
| 1437540382 | Barry Taller | Student in an Organized Health Care Education/Training Program | 570 Nordhoff Dr, Leonia, NJ 07605-1013 | 2015-02-13 |
| 1366697542 | Sylvia Shaik | Social Worker | 203 Cumley Ter, Leonia, NJ 07605-1112 | 2008-12-01 |
| Find all providers in zip 07605 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.