SUJIN BAEK (NPI# 1831626423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831626423 |
| Entity Type | Individual |
| Full Name | SUJIN BAEK |
| Practice Address |
2015 Grand Concourse Bronx NY 10453-4303 |
| Mailing Address |
3198 Grand Concourse Bronx NY 10458-1000 |
| Practice Telephone | 7182997295 |
| Practice Fax Number | 7182996797 |
| Mailing Telephone | 7186180401 |
| Mailing Fax Number | 3474791303 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F431112 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2015 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680389 | Lewis Rogatnick | General Practice | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2005-06-28 |
| 1750982807 | Muhammad Imran Mir | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-11-05 |
| 1841890712 | Enerolisa Paredes | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-29 |
| 1174123574 | Harriet Adwoa Yeboah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1386244663 | Kimberly Harrison | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-27 |
| 1992304604 | Angelique Saavedra | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-23 |
| 1528667847 | Isabel Acosta | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-19 |
| 1639776388 | Chelsea Onuorah | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-06 |
| 1356948434 | Franciou Philippeau | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-10-02 |
| 1023625639 | Anisa Philia Nervais | Registered Nurse | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447598180 | Timothy Stephen Emanuel | Nurse Practitioner | 1722 Purdy St, Apt. 4b, Bronx, NY 10462-6368 | 2013-01-30 |
| 1770818692 | Janel Yung | Nurse Practitioner | 1211 White Plains Rd, Bronx, NY 10472-4900 | 2009-10-09 |
| 1982738233 | Pangeta Rebecca Mcgrowther Ferguson | Nurse Practitioner | 1000 Pelham Pkwy S, Bronx, NY 10461-1003 | 2007-03-16 |
| 1700945490 | Linda Elena Dallam | Nurse Practitioner | 111 E 210th St, Deod, Bronx, NY 10467-2401 | 2006-12-08 |
| 1952479917 | Julya Rempel | Nurse Practitioner | 3518 Bainbridge Ave, Bainbridge Nursing Home, Bronx, NY 10467-1402 | 2006-11-30 |
| 1043396351 | Lydia Keogh | Nurse Practitioner | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1356942957 | Violeta Izrailov | Nurse Practitioner | 7529 187th St, Fresh Meadows, NY 11366-1725 | 2020-11-02 |
| 1063028041 | Alanna Baldassarre | Nurse Practitioner | 1 Daywood Ct, East Northport, NY 11731-3446 | 2020-09-16 |
| 1316553399 | Jacqueline Abbatiello | Nurse Practitioner | 66 Wickey Ave, Westbury, NY 11590-2005 | 2020-09-16 |
| 1235760612 | Sumra Abbasi | Nurse Practitioner | 6 S Georgia St, Valley Stream, NY 11580-2309 | 2020-02-04 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1952874604 | Alice M Carrington | Nurse Practitioner | 61 Syracuse St, Baldwinsville, NY 13027-2929 | 2019-01-05 |
| 1629597224 | Guerdy M Michel-loiseau | Nurse Practitioner | 90-01 Broadway, Elmhurst, NY 11373 | 2017-09-14 |
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
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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.