Peter Hae Suk Lee

MD | Pediatric Emergency Medicine | Male

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Complete Profile:

Peter Hae Suk Lee basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Peter Hae Suk Lee
Credential :	MD
Gender :	Male

Business Address:

Peter Hae Suk Lee address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	223 N Van Dien Avenue, The Valley Hospital Ridgewood, NJ, 07450 United States
Phone Number :	201-444-2019
Fax Number :	201-444-3604

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1205886611
NPI Entity Type :	Individual
First Enrolment Date :	10 May, 2006
Last Updated On :	08 Jul, 2007

Medicare Participation:

Peter Hae Suk Lee participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7416143169
Medicare Enrollment ID :	I20101122000063
Primary Specialty :	Emergency Medicine
Medical School :	Other
Graduation Year :	1994
Accepts Medicare?	Yes. Peter Hae Suk Lee accepts medicare insurance.

Group Practice Association:

Peter Hae Suk Lee is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Peter Hae Suk Lee is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Valley Emergency Room Associates Pa	9335135607	27	223 N Van Dien Ave Ridgewood, NJ - 074502726 Ph: 2014442019	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Hae Suk Lee are as mentioned. Primary taxonomy code for Peter Hae Suk Lee, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	25MA07465000	NJ

Legacy Identifiers:

Other legacy medical identifiers of Peter Hae Suk Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
8924601	MEDICAID	NJ

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1173, Valley Emergency Room Associates Pa Ridgewood, NJ, 07451 United States
Phone Number :	800-777-2455
Fax Number :	610-617-6280

Business Location:

Patients can refer following map for directions to Peter Hae Suk Lee practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.