Active NPI
Seon Mi Jeong
- Neonatal Nurse Practitioner
- Livingston, NJ
National Provider Identifier
1346687019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 26NJ14848100
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 322-2916
- NPI assigned
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | F350353-1 | NY | |
| Neonatal Nurse Practitioner | 363LN0000X | 26NJ14848100 | NJ | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
600 W 246TH St
Apt 216
Bronx, NY 10471-3611
Phone (267) 788-5074
Other practice location 1
34th street and Civic Center Boulevard
Philadelphia, PA 19104-4399
Phone (215) 590-3083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14848100 | NJ | MD | Neonatal Nurse Practitioner |
| F350353-1 | NY | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- smj9007@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1346687019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W 246TH ST",
"address_2": "APT 216",
"city": "BRONX",
"state": "NY",
"postal_code": "104713611",
"telephone_number": "267-788-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-2916"
}
],
"practiceLocations": [
{
"address_1": "34th street and Civic Center Boulevard",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044399",
"country_code": "US",
"telephone_number": "215-590-3083",
"fax_number": "267-426-4099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEONG",
"first_name": "SEON MI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NY",
"license": "F350353-1",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NJ",
"license": "26NJ14848100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
- Jefffrey H. Spector, Psy.D., P.a.
- Jeffrey Optics, Inc.
- Jeffrey Segal MD PA
- Rashidah Jenious, LPC
- Jennifer R Peos MD LLC
- Daniella Jernick, LCSW
- Jewish Service for the Developmentally Disabled
- Jewish Service for the Developmentally Disabled
- Jewish Service for the Developmentally Disabled
- Jewish Service for the Developmentally Disabled
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.