JAE MIN (NPI# 1932419017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932419017 |
| Entity Type | Individual |
| Full Name | JAE MIN |
| Credential | M.D. |
| Practice Address |
450 Clarkson Avenue Suite B4-333 Brooklyn NY 11203 |
| Practice Telephone | 7182704714 |
| Practice Fax Number | 7182701985 |
| Mailing Telephone | 7182704714 |
| Mailing Fax Number | 7182701985 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
258063 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
450 CLARKSON AVENUE SUITE B4-333 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797845 | Helen Anna Valsamis | Psychiatry & Neurology | 450 Clarkson Avenue, Department of Neurology, Brooklyn, NY 11203 | 2006-02-06 |
| 1053934315 | Dilbagh Singh | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Department of Surgery, Brooklyn, NY 11203 | 2020-05-21 |
| 1356964795 | Galen Ballentine | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Psychiatry, Brooklyn, NY 11203 | 2020-05-20 |
| 1881216166 | Deema Sawass Najjar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Neurology Department Suny Downstate, Brooklyn, NY 11203-2012 | 2020-05-10 |
| 1023630464 | Regina Cheng | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Department of Obstetrics & Gynecology, Brooklyn, NY 11203-2012 | 2020-05-07 |
| 1134740277 | Brit David Zaro | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Department of Anesthesiology, Brooklyn, NY 11203-2012 | 2020-04-29 |
| 1427678895 | Abdurrahman Fatih Ozay | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Pathology Department, Brooklyn, NY 11203-2012 | 2020-04-25 |
| 1326668906 | Priscila Estefania Villalba Davila | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, Department of Pediatrics, Brooklyn, NY 11203-2012 | 2020-04-23 |
| 1487273066 | Erik Lee Anderson | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Internal Medicine Department, Brooklyn, NY 11203-2012 | 2020-04-13 |
| 1902425143 | Alam W. Ahmed | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Department of Internal Medicine, Brooklyn, NY 11203-2012 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093238339 | Maria Pygerou-kofinas | Pediatrics | 506 Sixth Street Kp4, Brooklyn, NY 11215 | 2017-07-19 |
| 1063893089 | Namirembe Joan Kazibwe | Pediatrics | 539, 85th Street, Apt 3f, Brooklyn, NY 11209 | 2015-06-16 |
| 1114339322 | Michelle Quan | Pediatrics | 388 Bridge St, Apt 11b, Brooklyn, NY 11201-5210 | 2014-05-21 |
| 1952728883 | Thomas Hays | Pediatrics | 41 Hausman St, Brooklyn, NY 11222 | 2014-03-28 |
| 1992885057 | Ali Nadroo | Pediatrics | 236 7th Ave, Brooklyn, NY 11215-3415 | 2006-10-16 |
| 1265523427 | Gratias Tom Mundakel | Pediatrics | 451 Clarkson Ave, C4128, Kings County Hospital Center, Brooklyn, NY 10301 | 2006-09-27 |
| 1194789388 | Asma Asif Ahmad | Pediatrics | 461 Clarkson Ave, Kings County Medical Center, Brooklyn, NY 11203 | 2006-04-14 |
| 1528063377 | John Casey | Pediatrics | 760 Broadway, Woodhull Medical & Mental Health Center, Department of Pediatrics, Brooklyn, NY 11206 | 2005-06-17 |
| 1427445949 | Anna Zylak | Pediatrics | 121 Dekalb Ave, Dept of Pediatrics, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2015-04-22 |
| 1275960742 | Chris Papazafiratou | Pediatrics | 2601 Ocean Parkway, Brooklyn, NY 11235 | 2013-09-30 |
| Find all providers in BROOKLYN | ||||
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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.