Organization Active NPI

Pureen USA

  • Medical Specialty Clinic/Center
  • Fort Lee, NJ
National Provider Identifier
1013647841
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PUREEN USA
Practice address
1608 Lemoine Ave Ste 201
Fort Lee, NJ 07024-5636
Phone
(201) 579-0088
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hee Jin Kim, MDNPI 1306155395
Title
Ceo
Phone
(213) 999-9503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1608 Lemoine Ave Ste 201
Fort Lee, NJ 07024-5636

Mailing address

2200 N Central Rd Apt 12F
Fort Lee, NJ 07024-7596
Phone (213) 999-9503

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1013647841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N CENTRAL RD APT 12F",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247596",
            "telephone_number": "213-999-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 201",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636",
            "telephone_number": "201-579-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREEN USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HEE JIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-999-9503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.