Individual provider Active NPI

Ro Mi Seo

  • Family Nurse Practitioner
  • Englewood, NJ
National Provider Identifier
1659742336
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00689300 Issued in NJ
Practice address
464 Hudson Ter Ste 201a
Englewood, NJ 07632-2951
Phone
(201) 503-0828
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33340072 NY
Family Nurse Practitioner 363LF0000X 26NJ00689300 NJ Primary

Addresses

Primary practice location

464 Hudson Ter Ste 201a
Englewood, NJ 07632-2951

Mailing address

369 Coolidge Ave
Fort Lee, NJ 07024-5053
Phone (201) 741-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160520000815 NY Practitioner - Nurse Practitioner 1759670300 Reassigns benefits to 3 organizations
I20191112001313 NJ Practitioner - Nurse Practitioner 1759670300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

155 N Dean St
Suite 3a
Englewood, NJ 07631-2524
Phone (201) 673-4856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340072NYMDDiagnostic Radiology Physician
33340072NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Sep 21, 2019 Accepting new patients
Hudson MD Group CurrentSince Nov 1, 2024 Accepting new patients
Mskcc Radiology Group CurrentSince Sep 16, 2022 Accepting new patients
New York University CurrentSince Mar 12, 2016 Accepting new patients
Marah Clinic Family CurrentSince Apr 15, 2024 Accepting new patients
New York University CurrentSince Mar 12, 2016 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

350 Engle St
#2E
Englewood, NJ 07631
Phone (201) 227-5533

155 N Dean St
Ste 3A
Englewood, NJ 07631
Phone (201) 673-4856

580 Sylvan Ave
Ste 1G
Englewood Cliffs, NJ 07632

464 Hudson Ter
Ste 201A
Englewood Cliffs, NJ 07632
Phone (201) 503-0828

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1659742336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 COOLIDGE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245053",
            "telephone_number": "201-741-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER STE 201A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076322951",
            "telephone_number": "201-503-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "RO MI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33340072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00689300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.