Song Eun Lee (NPI# 1972747749, PAC ID# 4385884840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1972747749 |
| PAC ID by PECOS | 4385884840 |
| Professional Enrollment ID | I20150924001904 |
| Full Name | Song Eun Lee |
| Organization Legal Name | RETINA CONSULTANTS, PA, II |
| Address |
1200 E Ridgewood Ave Suite 207 Ridgewood NJ 07450-3937 |
| Phone Number | 2016129600 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8729033816 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310009 | CLARA MAASS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 119 Prospect St, Suite 1, Ridgewood, NJ 07450-4451 | 2014443878 | RETINA CONSULTANTS, PA, II |
| 1200 E Ridgewood Ave, Suite 207, Ridgewood, NJ 07450-3937 | 2016129600 | RETINA CONSULTANTS, PA, II |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | RETINA CONSULTANTS, PA, II |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rony Gelman | Ophthalmology | Retina Consultants, Pa, II | 1 Clara Maass Dr, Suite 255, Belleville, NJ 07109-3550 |
| Larisa Kayserman | Ophthalmology | Retina Consultants, Pa, II | 1200 E Ridgewood Ave, Suite 207, Ridgewood, NJ 07450-3937 |
| Robert V Vallar | Ophthalmology | Retina Consultants, Pa, II | 1200 E Ridgewood Ave, Suite 207, Ridgewood, NJ 07450-3937 |
| Street Address |
1200 E RIDGEWOOD AVE SUITE 207 |
| City | RIDGEWOOD |
| State | NJ |
| Zip | 07450-3937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chidambaram Raman | General Surgery | Chidambaram Raman Md LLC | 1200 E Ridgewood Ave, Suite 203, Ridgewood, NJ 07450-3937 |
| Karen Duarte | Physician Assistant | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Jodie Hannah Katz | Family Medicine | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | |
| Ahsan Sattar | Neurology | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Ty James Olson | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Judy Y Hu | Dermatology | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Gaetan Moise | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Paige S Applebaum Farkas | Dermatology | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Elan B Singer | Plastic and Reconstructive Surgery | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Luigi Bassani | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Marchese Tumminello | Clinical Social Worker | 535 E Ridgewood, Suite 10, Ridgewood, NJ 07450 | |
| Josephine Jarolmen | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Jasmine Aloni Cohn | Clinical Social Worker | 115 Pine St, Suite 300, Ridgewood, NJ 07450-1619 | |
| Susan J Syvarth | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Bonnie Malajian | Clinical Social Worker | 428 Cambridge Rd, Ridgewood, NJ 07450-1805 | |
| Douglas Liva | Ophthalmology | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Rosemary Frasco | Optometry | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Mahros K Isaac | Physical Therapy | Progressive Rehab and Home Care Pt and Ot Pllc | 537 Banta St, Ridgewood, NJ 07450-1918 |
| Eui-sun L Yoon | Psychiatry | 589 Franklin Tpke, Suite 11, Ridgewood, NJ 07450-1928 | |
| Amy W. Stevens | Dermatology | Northern Bergen Dermatology Group Pa | 400 Route 17, Ridgewood, NJ 07450-2010 |
| Find all physicians in zip 07450 | |||
| City | RIDGEWOOD |
| Zip Code | 07450 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | RIDGEWOOD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Song Eun Lee.
| 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.