Active NPI
Lee Boon Ang, N.P.
- Acute Care Nurse Practitioner
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 430277
- Practice address
- 9500 Euclid Ave
Office of Physician Recruitment Cleveland Clinic TR-302
Cleveland, OH 44195-0001 - Phone
- (216) 312-3951
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP141752 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN-831 | HI | |
| Acute Care Nurse Practitioner | 363LA2100X | ARNP9374582 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | 430277 | NY | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | AP141752 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 18554 | OH |
Addresses
Primary practice location
9500 Euclid Ave
Office of Physician Recruitment Cleveland Clinic TR-302
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave
Office of Physician Recruitment Cleveland Clinic TR-302
Cleveland, OH 44195-0001
Phone (216) 312-3951
Other practice location 1
68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 333-8484
Other practice location 2
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-3370
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | lboonang67495@direct.garnethealth.org | Direct | Garnet Health Doctors PC |
| Direct Messaging Address | lba7001@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, AZ, TX, NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
Hospital & facility affiliations
- Hilo Benioff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18554 | OH | MD | General Practice Dentistry |
| AP141752 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Nurse Practitioner | Current | Accepting new patients |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Tucson Medical Center | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Tucson Medical Center | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Past | Accepting new patients |
Locations
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
6555 Coyle Ave
Ste 220
Carmichael, CA 95608
Phone (916) 241-9677
6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- lboonang67495@direct.garnethealth.org
- lba7001@direct.nyp.org
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Nurse Practitioner
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Urgent Care Clinic/Center
- Ewa Beach, HI
- NPI 1417580275
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1972876563
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1831114636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"address_2": "OFFICE OF PHYSICIAN RECRUITMENT CLEVELAND CLINIC TR-302",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-312-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"address_2": "OFFICE OF PHYSICIAN RECRUITMENT CLEVELAND CLINIC TR-302",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-312-3951"
}
],
"practiceLocations": [
{
"address_1": "68 Harris Bushville Rd",
"address_purpose": "LOCATION",
"city": "Harris",
"state": "NY",
"postal_code": "12742",
"country_code": "US",
"telephone_number": "845-333-8484",
"fax_number": "845-794-5675",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-3370",
"fax_number": "845-333-3372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANG",
"first_name": "LEE BOON",
"name_prefix": "Mr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP141752",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "HI",
"license": "APRN-831",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP9374582",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "430277",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP141752",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "18554",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "Fhir",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lboonang67495@direct.garnethealth.org",
"affiliation": "Y",
"affiliationName": "Garnet Health Doctors PC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "707 E Main St",
"city": "Middletown",
"state": "NY",
"country_code": "US",
"postal_code": "109402650",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lba7001@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.