Joon J Bang, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

126410 Issued in NY

Legal business name

JOON J BANG, MD, PC

Practice address

200 Prospect Park W
Brooklyn, NY 11215-5747

Phone

(718) 768-1264

Fax

(718) 768-0254

NPI assigned

Jan 8, 2010

Organization subpart

No

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

Authorized official

Name

Joon J Bang, MD

Title

President

Phone

(718) 768-1264

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Jung Lack Lee, MD

  • Surgery Physician
  • Flushing, NY
  • NPI 1457394306
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1134459407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155747",
            "telephone_number": "718-768-1264",
            "fax_number": "718-768-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155747",
            "telephone_number": "718-768-1264",
            "fax_number": "718-768-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOON J BANG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-768-1264",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "126410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00275741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heesun Jong
• Bienvenido R. Jongco, M.D.
• Alexander Jonokuchi, MD
• Farah Kanwal Jooma, MD
• Joon Acupuncture P.C
• Lily Way Jordahl, RN, CNM
• Jordan Davis Psychological Services PLLC
• Shani Jordan-Goldman, MS, RD, CDE
• Amy Jordan, LMSW
• Andre Jordan

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.