Provider Type Icon

MRS. KYOUNG SUN BAEK NP NPI 1982159174


NPI Information

NPI: 1982159174
Provider Name: MRS. KYOUNG SUN BAEK, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: EAST PULMONARY AND SLEEP, LLC

PECOS Registration: Yes

Address:
17 ELM AVE FL 3
HACKENSACK, NJ
ZIP 07601
Phone: (201) 488-2210
Get Directions

MRS. Kyoung Sun Baek, NP is a gerontology nurse practitioner in Hackensack, NJ with 8 years of experience. MRS. Kyoung Sun Baek, NP NPI is 1982159174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 ELM AVE FL 3
HACKENSACK, NJ
ZIP 07601-702
Phone: (201) 488-2210

The NPI 1982159174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontology26NJ00644900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.