Soon Hee Baik
Individual provider Active NPI School Registered Nurse · Leonia, NJ
NPI 1629625835 · NPPES record last updated Aug 22, 2019
Key facts
- NPI
- 1629625835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 580785-1 (NY)
- Practice address
- 533A Grand Ave
Leonia, NJ 07605-2112 - Phone
- (347) 256-2006
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 580785-1 | NY | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 580785-1 | NY | Yes |
Addresses
Primary practice location
533A Grand Ave
Leonia, NJ 07605-2112
Mailing address
533A Grand Ave
Leonia, NJ 07605-2112
Phone (347) 256-2006
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.