Baek, Kyoung Sun

Baek, Kyoung Sun is an sole proprietor health care provider with primary practice located at 6 Sylvan Avenue Suite D, Englewood Cliffs NJ 07632-2432. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Baek, Kyoung Sun can be contacted via phone (201) 967-8425.

Contact Information

Primary practice address
6 Sylvan Avenue Suite D Englewood Cliffs NJ 07632-2432
Phone: (201) 967-8425
Fax: (201) 967-8443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NR11834400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00644900 New Jersey

Profile Details

NPI number 1982159174
LBN Legal business name Baek, Kyoung Sun
Credentials APN RPN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2016
Last updated Dec 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982159174 NPPES
New Jersey MEDICAID 0527220

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