Yongsoo Lee, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01009600 Issued in NJ

Practice address

291 Liberty St Apt 49
Little Ferry, NJ 07643-1368

Phone

(316) 708-9379

NPI assigned

Jan 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Christian Kim MD, PCGroup PAC ID 8820366040, 3 clinicians

North Haledon Medical, PCGroup PAC ID 0345299947, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
• Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

Merit-based Incentive Payment System (MIPS)

Final score

82.88 of 100Reported as group

Quality

81.99

Promoting interoperability

95

Improvement activities

20

Cost

69.63

Merit-based Incentive Payment System (MIPS)

Final score

65.78 of 100Reported as group

Quality

15

Promoting interoperability

57

Improvement activities

40

Cost

80.16

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christian Kim MD, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Lee, NJ
  • NPI 1639603244
  Medicare reassignment Care Compare group NPD
• North Haledon Medical, PC

  • Specialist
  • Wayne, NJ
  • NPI 1477624088
  Medicare reassignment Care Compare group NPD
• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  NJ, NY

  Medicare reassignment Care Compare group NPD
• World Chiropractic Incorporated

  • Chiropractor
  • Wayne, NJ
  • NPI 1376611855
  NPD (past)
• Allied Medical of Ny PC

  • Family Medicine Physician
  • Carle Place, NY
  • NPI 1730961061
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation
• Holy Name Hospital Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Teaneck, NJ
  • NPI 1043389349

  Hospital

  Care Compare affiliation
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  Care Compare affiliation

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1356971246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST APT 49",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431368",
            "telephone_number": "316-708-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LIBERTY ST APT 49",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431368",
            "telephone_number": "316-708-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YONGSOO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01009600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joie'S World. LLC
• Hyangsun Kim
• Anthony Peter Labarbiera, DPM,DABPS
• Sir Vaughn Joffre Ainza Lacsamana
• John Jonghyun Lee, D.P.T.
• Lihong Traditional Chinese Medicine PC
• Little Ferry Chiropractic and Physical Therapy
• Little Ferry First Aid Corp, Inc.
• Little Ferry Optical
• Little Ferry Pharmacy, LLC.

• Nurse Practitioner in Little Ferry, NJ
• Providers in Little Ferry, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.