Active NPI
Sung Bam Wee, PT
- Physical Therapist
- Fort Lee, NJ
National Provider Identifier
1467552182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01192500
- Practice address
- 1055 Palisade Ave
1St Floor
Fort Lee, NJ 07024-6329 - Phone
- (201) 886-1200
- Fax
- (201) 886-0119
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01192500 | NJ | Primary |
Addresses
Primary practice location
1055 Palisade Ave
1St Floor
Fort Lee, NJ 07024-6329
Mailing address
1055 Palisade Ave
1St Floor
Fort Lee, NJ 07024-6329
Phone (201) 886-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
190 Sylvan
Suite 1
Englewood Cliffs, NJ 07632
190 Sylvan Ave
Suite 1
Englewood Cliffs, NJ 07632-2542
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01192500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wees Physical Therapy and Wellness Clinic | Physical Therapist | Current | Accepting new patients |
| Top Choice Medical LLC | Physical Therapist | Past | Accepting new patients |
| Ying Shim, MD PA | Past | Accepting new patients |
Locations
190 Sylvan Ave
Ste 1
Englewood Cliffs, NJ 07632
Phone (201) 886-1200
1055 Palisade Ave
#1
Fort Lee, NJ 07024
Phone (201) 886-1200
Organizations & group practices 3
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.
-
- Physical Therapist
- Fort Lee, NJ
- NPI 1043385941
-
- Physical Therapist
- Union City, NJ
- NPI 1356711675
-
- Preferred Provider Organization
- Jersey City, NJ
- NPI 1942524293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467552182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 PALISADE AVE",
"address_2": "1ST FLOOR",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246329",
"telephone_number": "201-886-1200",
"fax_number": "201-886-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 PALISADE AVE",
"address_2": "1ST FLOOR",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246329",
"telephone_number": "201-886-1200",
"fax_number": "201-886-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEE",
"first_name": "SUNG BAM",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01192500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.