LCN Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06244100 Issued in NJ

Legal business name

LCN MEDICAL GROUP

Practice address

136 N. Washington Ave. Suite 201
Bergenfield, NJ 07621

Phone

(201) 374-1171

Fax

(201) 374-1650

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Cristina Sario, MS

Title

Executive

Phone

(201) 374-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1538608450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N. WASHINGTON AVE. SUITE 201",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "201-374-1171",
            "fax_number": "201-374-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N. WASHINGTON AVE. SUITE 201",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "201-374-1171",
            "fax_number": "201-374-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "SARIO",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "201-374-1171",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06244100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heon Joon Lee, L.AC

• Internal Medicine Physician in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.