Near Me Dermatology West Seneca PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NEAR ME DERMATOLOGY WEST SENECA PLLC

Practice address

550 Orchard Park Rd Ste 110
West Seneca, NY 14224-2646

Phone

(213) 880-2538

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Youn Jea Kim, FNP

Title

Owner

Phone

(213) 880-2538

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1730856436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD STE 110",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "213-880-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAR ME DERMATOLOGY WEST SENECA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUN JEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-880-2538",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04401649",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nmdermatology.hr@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "550 Orchard Park Rd Ste 110",
            "city": "West Seneca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142242646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natural Balance Chiropractic Wellness
• John Nazzarett, PT DPT
• Thomas Nealon, RPH
• Near Me Dermatology PLLC
• Near Me Dermatology PLLC
• Jennifer A. Neilson, NP
• Colleen Ann Nelson, MS, OTR/L
• Yvona Amanda Nestorowicz, NP
• New York State
• Anh-Thu Ho Nguyen, M.D.

• Family Nurse Practitioner in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.