Sang O Lee (NPI# 1467552257, PAC ID# 1153366299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NUCLEAR MEDICINE.
| Nation Provider ID (NPI) | 1467552257 |
| PAC ID by PECOS | 1153366299 |
| Professional Enrollment ID | I20050621000024 |
| Full Name | Sang O Lee |
| Organization Legal Name | ESSEX HUDSON CARDIOLOGY ASSOCIATES LLP |
| Address |
201 Lyons Ave G Newark NJ 07112-2027 |
| Phone Number | 9739268592 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1978 |
| Primary Specialty | NUCLEAR MEDICINE |
| Group Practice PAC ID | 0042374092 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| 310025 | BAYONNE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 29 E 29th St, Bayonne, NJ 07002-4654 | 2018585000 | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
| 308 Willow Ave, Hoboken, NJ 07030-3808 | 2014181000 | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
| 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2017958200 | GARDEN STATE HEALTHCARE ASSOCIATES LLC |
| 201 Lyons Ave, B2, Newark, NJ 07112-2027 | 9739266635 | NBIMC DEPARTMENT OF RADIOLOGY |
| 201 Lyons Ave G, Newark, NJ 07112-2027 | 9739268592 | ESSEX HUDSON CARDIOLOGY ASSOCIATES LLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 46% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 46% |
| Organization Legal Name | ESSEX HUDSON CARDIOLOGY ASSOCIATES LLP |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajiv Tayal | Cardiovascular Disease (cardiology) | Essex Hudson Cardiology Associates LLP | 672 Broadway, Bayonne, NJ 07002-4725 |
| Mohammad Y Sandhu | Cardiovascular Disease (cardiology) | Essex Hudson Cardiology Associates LLP | 225 Lafayette St, Newark, NJ 07105-1813 |
| Gail Baker | Nurse Practitioner | Essex Hudson Cardiology Associates LLP | 672 Broadway, Bayonne, NJ 07002-4725 |
| Najam Wasty | Cardiovascular Disease (cardiology) | Essex Hudson Cardiology Associates LLP | 672 Broadway, Bayonne, NJ 07002-4725 |
| Mohammad Asif | Cardiovascular Disease (cardiology) | Essex Hudson Cardiology Associates LLP | 672 Broadway, Bayonne, NJ 07002-4725 |
| Street Address |
201 LYONS AVE G |
| City | NEWARK |
| State | NJ |
| Zip | 07112-2027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Homer L Nelson | Internal Medicine | 410 Chancellor Ave, Newark, NJ 07112-1030 | |
| Cindy Sturt | Vascular Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Razia S Awan | Internal Medicine | 156 Lyons Ave, Newark, NJ 07112-2016 | |
| Beena J Joseph | Nurse Practitioner | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Jonathan C Dunn | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Tatiana Ambarus | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| David Stephen Pertsemlidis | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Misbah Salam | Neurology | 166 Lyons Ave, Newark, NJ 07112-2016 | |
| Harvey K Bucholtz | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Cynthia A Galeota | Certified Nurse Midwife (cnm) | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Find all physicians in zip 07112 | |||
| City | NEWARK |
| Zip Code | 07112 |
| Specialty | NUCLEAR MEDICINE |
| City + Specialty | NEWARK + NUCLEAR MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.