Hee Jong Baek

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

11 Liberty PLZ Ste C
Newark, DE 19711-5590

Phone

(302) 366-1130

Fax

(302) 366-1137

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1649682204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LIBERTY PLZ STE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LIBERTY PLZ STE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115590",
            "telephone_number": "302-366-1130",
            "fax_number": "302-366-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "HEE JONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred E Bacon III, MD
• Ronetia Bacon
• Danielle Badillo
• Jennifer Badillo, CLD
• Sung Ho Bae, MD
• Moon Sik Baek
• Jenna M. Baffone
• Stephanie A Baffone, LPCMH
• Mamadou Mouctar Bah, PA
• Jessica Bahls, M.S.

• Optician in Newark, DE
• Providers in Newark, DE by specialty
• Optician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.