JACOB S LEE (NPI# 1922116029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922116029 |
| Entity Type | Individual |
| Full Name | JACOB S LEE |
| Credential | MD |
| Practice Address |
72 W Jimmie Leeds Rd Suite 1100 Galloway NJ 08205-9406 |
| Practice Telephone | 6096779729 |
| Practice Fax Number | 6096527153 |
| Mailing Telephone | 6096779729 |
| Mailing Fax Number | 6096527153 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
25MA07860300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RAILROAD MEDICARE | P00280613 | 01 |
| NJ | RAILROAD MEDICARE | P00758330 | 01 |
| NJ | RAILROAD MEDICARE | P00847798 | 01 |
| NJ | 0073989 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1104243260 | Jacob Lee | Acupuncturist | 827 N Bloodworth St Ste A, Raleigh, NC 27604-1231 | 2014-03-26 |
| 1083768725 | Jacob K. Lee | Dentist | 903 Calle Amanecer Ste 160, San Clemente, CA 92673-6272 | 2007-01-22 |
| 1174543847 | Jacob J Lee | Dentist | 1006 Professional Blvd, Suite B, Dalton, GA 30720-2505 | 2006-07-19 |
| 1104431485 | Jacob Cole Lee | Physician Assistant | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2020-09-13 |
| 1811513781 | Jacob Jan Lee | Physical Therapist | 953 Walnut St, Wheatland, WY 82201-2665 | 2020-06-17 |
| 1720556194 | Jacob Lee | Behavior Technician | 2110 E Flamingo Rd Ste 150, Las Vegas, NV 89119-5190 | 2018-11-05 |
| 1790282259 | Jacob C Lee | Student in an Organized Health Care Education/Training Program | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2018-04-11 |
| 1447773296 | Jacob Chung Lee | Ophthalmology | 6329 Gall Blvd, Zephyrhills, FL 33542-2515 | 2017-07-24 |
| 1912438805 | Jacob Lee | Student in an Organized Health Care Education/Training Program | 2000 Canal St, New Orleans, LA 70112-3018 | 2017-03-23 |
| Street Address |
72 W JIMMIE LEEDS RD SUITE 1100 |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518942408 | Michael John Schmidling | Radiology | 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 | 2005-12-13 |
| 1093118366 | Diane Marchesani, Do LLC | Internal Medicine | 72 W Jimmie Leeds Rd, Suite 2400, Galloway, NJ 08205-9406 | 2014-10-01 |
| 1639517980 | Lindsey A Williams | Registered Nurse | 72 W Jimmie Leeds Rd, Galloway, NJ 08205-9406 | 2013-06-10 |
| 1275762023 | Ami Atlanticare LLC | Clinic/Center | 72 W Jimmie Leeds Rd, Galloway, NJ 08205-9406 | 2009-07-14 |
| 1922248962 | David Levi | Radiology | 72 W Jimmie Leeds Rd, Ste 1100, Galloway, NJ 08205-9406 | 2009-03-04 |
| 1841438728 | Atlantic Radiologists Professional Association LLC | Radiology | 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 | 2009-01-30 |
| 1174786842 | Atlantic Primary Care PC | Internal Medicine | 72 W Jimmie Leeds Rd, Suite 2100, Galloway, NJ 08205-9406 | 2008-07-03 |
| 1942476700 | David Anthony Kenny | Radiology | 72 W Jimmie Leeds Rd, Ste 1100, Galloway, NJ 08205-9406 | 2008-05-01 |
| 1851565105 | South Jersey Home Medical | Home Infusion | 72 W Jimmie Leeds Rd, Galloway, NJ 08205-9406 | 2008-04-17 |
| 1932234762 | Philip Paparone Do Pa | Internal Medicine | 72 W Jimmie Leeds Rd, Galloway, NJ 08205-9406 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669588380 | Robyn Fern Frankel-tiger | Radiology | 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912357674 | Hillsborough Radiology Centers, LLC | Radiology | 375 Route 206, Suite 1, Hillsborough, NJ 08844-4651 | 2016-06-14 |
| 1447439955 | Michael James Triolo | Radiology | 79 New St, Englewood Cliffs, NJ 07632-2924 | 2007-10-31 |
| 1801008560 | Thomas Burton Barta | Radiology | 5 Fifth Street, Barnegat, NJ 08005-1218 | 2007-05-04 |
| 1104952290 | Ironbound Mri, LLC | Radiology | 119 Clifford Street, Newark, NJ 07105 | 2007-02-26 |
| 1811022288 | Stephen Wayne Thal | Radiology | 2501 Kuser Road, Hamilton, NJ 08691 | 2007-02-23 |
| 1942312053 | Lauren Loverde | Radiology | 501 Pebble Creek Ct, Pennington, NJ 08534-1943 | 2006-08-31 |
| 1285742932 | Karen Ann Burger | Radiology | 70 Winter Ln, Watchung, NJ 07069-6329 | 2006-08-25 |
| 1255344297 | Marc Robert Peck | Radiology | 1810 Shore Rd, Northfield, NJ 08225-2220 | 2006-08-14 |
| 1154356798 | Phillip F. Bahramipour | Radiology | 579 A Cranbury Road, East Brunswick, NJ 08816 | 2006-07-12 |
| 1982636759 | Ronald H. Wachsberg | Radiology | 40 Belmont Pl, Passaic, NJ 07055-4502 | 2006-07-06 |
| 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.