JUNG LACK LEE (NPI# 1457394306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457394306 |
| Entity Type | Individual |
| Full Name | JUNG LACK LEE |
| Credential | MD |
| Practice Address |
143-25a Roosevelt Ave. Flushing NY 11354 |
| Mailing Address |
341 Powell St. Staten Island NY 10312 |
| Practice Telephone | 7183530505 |
| Practice Fax Number | 7189662576 |
| Mailing Telephone | 7189666000 |
| Mailing Fax Number | 7189662576 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 144342 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00823818 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467707653 | Jung Joo Lee | Dentist | 5616 3rd Ave, Ferndale, WA 98248-8394 | 2012-07-13 |
| 1386904548 | Jung Min Lee | Student in an Organized Health Care Education/Training Program | 210 E 64th St Fl Center6, New York, NY 10065-7471 | 2012-05-22 |
| 1700151115 | Jung Gun Lee | Acupuncturist | 991 Arapahoe St Unit 406, Los Angeles, CA 90006-5839 | 2012-03-19 |
| 1346521200 | Jung Hyun Lee | Dentist | 280 N Central Ave Ste 420, Hartsdale, NY 10530-1842 | 2011-09-06 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1528372182 | Jung A Lee | Pharmacist | 116-130 Broadway, Passaic, NJ 07055 | 2010-08-05 |
| 1518138874 | Jung Suk Lee | Acupuncturist | 8 Brookes Ave, Suite102, Gaithersburg, MD 20877-2753 | 2008-03-14 |
| 1841477379 | Jung Ik Lee | Dentist | 1139 Roxbury Dr, Westbury, NY 11590-5444 | 2008-01-28 |
| 1316169246 | Jung Eun Lee | Pharmacist | 4551 Forbes Blvd, Lanham, MD 20706 | 2007-05-02 |
| 1255491346 | Jung Lee | Dentist | 507 S Second Street, Champaign, IL 61820 | 2006-12-11 |
| Street Address |
143-25A ROOSEVELT AVE. |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649539339 | Kelechi Akuma | Surgery | 15311 Horace Harding Expy, 2b, Flushing, NY 11367-1274 | 2012-05-15 |
| 1568729051 | Konstantin Khariton | Surgery | 5645 Main St # Ll300, Flushing, NY 11355-5045 | 2012-04-20 |
| 1649552803 | Mohammad Yunas Khattak | Surgery | 150-24 75th Ave, Apt 2a, Flushing, NY 11367 | 2011-09-14 |
| 1770669848 | Fredrick Cadet | Surgery | 14606 Delaware Ave, Flushing, NY 11355-2132 | 2006-10-31 |
| 1962513556 | Nasir H Zaidi | Surgery | 147-05 Jasmine Ave, Flushing, NY 11355 | 2006-08-31 |
| 1982717732 | Rodrigo Jose Sequeira | Surgery | 5717 138th St, Flushing, NY 11355-5040 | 2006-08-16 |
| 1902815087 | Stanley-sangwook Kim | Surgery | 38-34 Parsons Blvd, Suite 1a, Flushing, NY 11354 | 2006-08-06 |
| 1669404125 | Talat Addasi | Surgery | 14243 Booth Memorial Ave, Flushing, NY 11355-5343 | 2006-07-07 |
| 1497700926 | Panas Savasatit | Surgery | 55-16 Main Street, Flushing, NY 11355 | 2006-05-23 |
| 1417913054 | Susan A Saint John | Surgery | 146-01 45 Avenue, Room 211, Flushing, NY 11355 | 2006-04-22 |
| Find all providers in FLUSHING | ||||
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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.