Individual provider Active NPI

Grace Lee-Hin, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1003053216
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042238 Issued in NY
Practice address
80 Park Ave
#1A
New York, NY 10016-2553
Phone
(212) 986-1112
Fax
(212) 986-1110
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 042238 NY Primary

Addresses

Primary practice location

80 Park Ave
#1A
New York, NY 10016-2553

Mailing address

80 Park Ave
#1A
New York, NY 10016-2553
Phone (212) 986-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 18, 2015 through Sep 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
042238NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Lee-Hin DDS PLLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1003053216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PARK AVE",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162553",
            "telephone_number": "212-986-1112",
            "fax_number": "212-986-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PARK AVE",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162553",
            "telephone_number": "212-986-1112",
            "fax_number": "212-986-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-HIN",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.