JSMK Urology P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MA072566 Issued in NJ

Legal business name

JSMK UROLOGY P.C.

Practice address

400 Sylvan Ave Ste 108
Englewood Cliffs, NJ 07632-2717

Phone

(718) 888-7800

Fax

(718) 888-7377

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

John Won, M.D.NPI 1477630440

Title

Physician

Phone

(718) 888-7800

Specialties & licenses 1

Addresses

Other names 1

• John H Won Urology PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

John H Won MD Urology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JSMK Urology PC

  • Urology Physician
  • Englewood Cliffs, NJ
  • NPI 1215579297
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Hee Won, MD

  • Urology Physician
  • Flushing, NY
  • NPI 1477630440

  NJ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1336337328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "SUITE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-888-7800",
            "fax_number": "718-888-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SYLVAN AVE STE 108",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322717",
            "telephone_number": "718-888-7800",
            "fax_number": "718-888-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSMK UROLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-888-7800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA072566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John H Won Urology PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Leisa Johnson
• Kevin Jong, D.M.D.
• Richard Hong Ki Joo, MD
• Joy Acupuncture LLC
• Joy Nutrition Clinic LLC
• JSMK Urology PC
• Soonyang Juhng, R.D.
• Sung Mun Jung, L.AC
• Simon J Kahn, M.D.
• Kairos Physical Therapy, P.C.

• Urology Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.