Active NPI
Joon Seung Lee, D.D.S.
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1003006529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050790
- Practice address
- 7523 Fort Hamilton Pkwy
Brooklyn, NY 11228-2305 - Phone
- (718) 238-4133
- Fax
- (718) 238-9843
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 050790 | NY | Primary |
Addresses
Primary practice location
7523 Fort Hamilton Pkwy
Brooklyn, NY 11228-2305
Mailing address
100 Old Palisade Rd Apt 3201
Fort Lee, NJ 07024-7025
Phone (917) 204-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02722636 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050790 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hana Dental Ny P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1104830918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1003006529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD PALISADE RD APT 3201",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070247025",
"telephone_number": "917-204-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7523 FORT HAMILTON PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282305",
"telephone_number": "718-238-4133",
"fax_number": "718-238-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOON",
"middle_name": "SEUNG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02722636",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.