Joo Medical Center | |
388 Broad Ave Leonia NJ 07605 | |
(201) 292-1567 | |
(201) 585-0692 |
Full Name | Joo Medical Center |
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Speciality | Clinic/Center |
Location | 388 Broad Ave, Leonia, New Jersey |
Authorized Official Name and Position | Richard Joo (PRESIDENT) |
Authorized Official Contact | 2015750999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joo Medical Center 388 Broad Ave Leonia NJ 07605 Ph: (201) 292-1567 | Joo Medical Center 388 Broad Ave Leonia NJ 07605 Ph: (201) 292-1567 |
NPI Number | 1356885875 |
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Provider Enumeration Date | 12/19/2016 |
Last Update Date | 12/19/2016 |
Medicare PECOS PAC ID | 9234415688 |
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Medicare Enrollment ID | O20170419001173 |
Identifier | Type | State | Issuer |
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1356885875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 25MA080266 (New Jersey) | Primary |
Provider Name | Richard Joo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851351282 PECOS PAC ID: 5193744159 Enrollment ID: I20080402000601 |
Provider Name | Lauren Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255739124 PECOS PAC ID: 2466784426 Enrollment ID: I20191024003011 |
Provider Name | Joo Jang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295349058 PECOS PAC ID: 6800216631 Enrollment ID: I20201016002419 |
Provider Name | Hyo Sook Kim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851780126 PECOS PAC ID: 6800281106 Enrollment ID: I20220324000293 |
Provider Name | Juli Kang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174398689 PECOS PAC ID: 8224480405 Enrollment ID: I20240124000233 |