Active NPI
James Hyun Soo Lee, M.D.
- Surgery Physician
- Bremerton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD446455
- Practice address
- CVN 76 Uss Ronald Reagan
Bremerton, WA 98310 - Phone
- (610) 304-4921
- NPI assigned
- Aug 8, 2012
- Last updated
- Aug 8, 2012
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD446455 | PA | Primary |
Addresses
Primary practice location
CVN 76 Uss Ronald Reagan
Bremerton, WA 98310
Mailing address
1105 Washington St
Apartment 1a
Hoboken, NJ 07030-5382
Phone (610) 304-4921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Temple University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Franklin Ave
Suite 406
Belleville, NJ 07109-3504
Phone (973) 759-4490
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD446455 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Surgical Associates LLC | Surgery | Current | Accepting new patients |
| Amirata Surgical Associates | Surgery | Current | Accepting new patients |
Locations
5 Franklin Ave
Ste 406
Belleville, NJ 07109
Phone (973) 759-4490
Interoperability endpoints
- jlee249936@epicdirect.rwjbh.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Belleville, NJ
- NPI 1396050548
-
- Surgery Physician
- Belleville, NJ
- NPI 1710055918
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1003163007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 WASHINGTON ST",
"address_2": "APARTMENT 1A",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305382",
"telephone_number": "610-304-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CVN 76 USS RONALD REAGAN",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98310",
"telephone_number": "610-304-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAMES",
"middle_name": "HYUN SOO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD446455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.