Peter Ji
Licensed Practical Nurse • Pomona, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Peter Ji has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Peter Ji was a registered Licensed Practical Nurse practicing in Pomona, NY. Throughout an active medical career spanning 10 years, Peter Ji provided care at the practice location at 8404 OVERHILL DR until profile deactivation on 2020-06-09.
Practice Location & Contact Primary Location
8404 Overhill Dr
Pomona, NY 109703809
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Pomona, NY
Practicing in Pomona, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
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Record deactivated on June 09, 2020
NPI status registered as active in NPPES database
Registered at 8404 OVERHILL DR, POMONA, NY 109703809 (Tel: 8453671000)
Registered at 8404 OVERHILL DR, POMONA, NY 109703809 (Tel: 8453671000)
Recorded as PETER JI
Licensed Practical Nurse (License #287724-1 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
8404 Overhill Dr
Pomona, NY 109703809
Phone: 8453671000
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