Cheol Woong Lee

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F339369 Issued in NY

Practice address

47 Ball Park LN
Hicksville, NY 11801-4501

Phone

(646) 236-8847

Fax

(516) 934-0246

NPI assigned

Feb 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prime Home Health Services, LLC Home health agency, Brooklyn, NY, CCN 337190

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

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.

• Medical Services of Northeastern Queens PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184311441
  Medicare reassignment Care Compare group NPD
• Fresh Meadows Physician Practice PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1720775083
  Medicare reassignment NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1588843650
  Care Compare affiliation
• Prime Home Health Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1841491412
  Care Compare affiliation

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1881086874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 BALL PARK LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014501",
            "telephone_number": "646-236-8847",
            "fax_number": "516-934-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 BALL PARK LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014501",
            "telephone_number": "646-236-8847",
            "fax_number": "516-934-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHEOL WOONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-27",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04100538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lauridia, LMT
• Martine Laventure, LMSW
• Arielle Lawson
• Le Chevalier DC
• Lee Dee & V Inc
• Dogyeong Lee, DDS
• Elizabeth Lee
• Henry Lee
• Jen Way Lee, LMHC
• Paul K Lee, MD

• Family Nurse Practitioner in Hicksville, NY
• Providers in Hicksville, 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 Jun 17, 2016; 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.

Verify at the official NPI Registry.