SUNG MIN LEE (NPI# 1952852196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952852196 |
| Entity Type | Individual |
| Full Name | SUNG MIN LEE |
| Credential | PA-C |
| Practice Address |
5401 Old York Rd Klein Building - Suite 505 Philadelphia PA 19141-3030 |
| Mailing Address |
5401 Old York Rd Philadelphia PA 19141-3030 |
| Practice Telephone | 2154568242 |
| Practice Fax Number | 2154568058 |
| Mailing Telephone | 2154568242 |
| Mailing Fax Number | 2154568058 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA058420 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619124633 | Sung Min Lee | Dentist | 301 60th St, West New York, NJ 07093-5422 | 2008-08-20 |
| Street Address |
5401 OLD YORK RD KLEIN BUILDING - SUITE 505 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932192739 | Walter L Gerber | Urology | 5401 Old York Rd, Suite 200, Philadelphia, PA 19141-3030 | 2005-08-26 |
| 1548885007 | Sagar Vinay Desai | Surgery | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2020-06-10 |
| 1053930958 | Renee Wynn | Nurse Practitioner | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2020-04-10 |
| 1598240012 | Jill Kile | Internal Medicine | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2018-10-01 |
| 1841788957 | Michele Butler | Registered Nurse | 5401 Old York Rd, Philadelphia, PA 19141 | 2018-04-24 |
| 1245755495 | Moayad Al Sona | Internal Medicine | 5401 Old York Rd, Philadelphia, PA 19141-3030 | 2017-08-09 |
| 1285185751 | Einstein Practice Plan | Physician Assistant | 5401 Old York Rd, Klein Building-suite 505, Philadelphia, PA 19141-3030 | 2016-10-20 |
| 1154879906 | Daniella Zolotnitsky | Dietitian, Registered | 5401 Old York Rd, Klein 505, Philadelphia, PA 19141-3030 | 2016-09-21 |
| 1780049445 | Danielle Curran | Nurse Practitioner | 5401 Old York Rd, Suite 101, Philadelphia, PA 19141-3030 | 2015-12-23 |
| 1750763223 | Michelle Kostelansky | Physician Assistant | 5401 Old York Rd, Klein Building Suite 510, Philadelphia, PA 19141-3030 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1174122493 | Juliana Debnam | Physician Assistant | 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 | 2020-10-19 |
| 1457950867 | Kyllington Spotts | Physician Assistant | 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 | 2020-10-19 |
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1457977944 | Jiyean Yoo | Physician Assistant | 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 | 2020-06-19 |
| 1356987747 | Jennifer Rose Cueni | Physician Assistant | 2120 Brandywine St, Philadelphia, PA 19130-3107 | 2019-11-21 |
| 1730740408 | Olivia Anne Leventry | Physician Assistant | 109 Fairmount Ave, Philadelphia, PA 19123-3004 | 2019-06-24 |
| 1588136055 | Jefferson University Physcians | Physician Assistant | 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 | 2018-12-21 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922589365 | Rachel Diane Simonsen | Physician Assistant | 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445 | 2018-08-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on SUNG MIN LEE.
| 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.