Look up the most recent NPI and PECOS records

Soon Jee Oh

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453-4303

PECOS Enrollment

Based on the most recent information from CMS, provider Soon Jee Oh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053795104
Provider Type
Individual
Full Name
Oh, Soon Jee
Gender
Female

Sole Proprietor
No
Enumeration Date
7/17/2015
Last Updated
7/17/2015

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453-4303

(718) 299-6295

(718) 299-6797

Mailing Location

3198 Grand Concourse, Bronx, NY 10458-1000

(718) 618-0401

(718) 795-4394

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F339547 New York

Soon Jee Oh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Harinath, Umawattie

Jean-Gilles, Ghandy

Yerra, Anuradha

Mckenzie, Michelle

Betton, Latoya

Rejouis, Carline

De La Huerta, Rafaela Marria

Pillai, Rajeena Anoop

Taveras, Gabriela

Carew, Jacqueline C