Individual provider Active NPI

Jimmy Hoon Jee, M.D.

  • Ophthalmology Physician
  • Englewood, NJ
National Provider Identifier
1396807905
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA08681500 Issued in NJ
Practice address
401A S Van Brunt St Ste 200
Englewood, NJ 07631-4600
Phone
(201) 541-6806
Fax
(201) 541-6807
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 226583 NY
Ophthalmology Physician 207W00000X 25MA08681500 NJ Primary

Addresses

Primary practice location

401A S Van Brunt St Ste 200
Englewood, NJ 07631-4600

Mailing address

401A S Van Brunt St Ste 200
Englewood, NJ 07631-4600
Phone (201) 541-6806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000711 NJ Practitioner - Ophthalmology 9032382007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 A S Van Brunt St
Suite 200
Englewood, NJ 07631-4600
Phone (201) 541-6806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08681500NJMDOphthalmology Physician
226583NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Eyecare of Northern Jersey, P.C. CurrentSince Sep 24, 2011 Accepting new patients

Locations

401 S Van Brunt St
Ste 200
Englewood, NJ 07631
Phone (201) 541-6806

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1396807905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401A S VAN BRUNT ST STE 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-541-6806",
            "fax_number": "201-541-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401A S VAN BRUNT ST STE 200",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-541-6806",
            "fax_number": "201-541-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEE",
        "first_name": "JIMMY",
        "middle_name": "HOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "226583",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08681500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.