Individual provider Active NPI

Yun Ju Lee

  • Acupuncturist
  • Englewood Cliffs, NJ
National Provider Identifier
1013164037
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
120 Sylvan Ave Ste 102
Englewood Cliffs, NJ 07632-2505
Phone
(201) 886-0077
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01157100 NJ
Acupuncturist 171100000X NJ Primary

Addresses

Primary practice location

120 Sylvan Ave Ste 102
Englewood Cliffs, NJ 07632-2505

Mailing address

120 Sylvan Ave Ste 102
Englewood Cliffs, NJ 07632-2505
Phone (201) 886-0077

Other practice location 1

420 Broad Ave Apt 1B
Palisades Park, NJ 07650-1661
Phone (917) 705-4019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000446 NJ Practitioner - Physical Therapist in Private Practice 3173681012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01157100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Bridge Physical Therapy PC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Our Home Adult Day Care, LLC CurrentSince Apr 20, 2019 Accepting new patients

Locations

535 Grand Ave
#2
Englewood, NJ 07631
Phone (201) 541-1111

120 Sylvan Ave
Ste 102
Englewood Cliffs, NJ 07632
Phone (201) 759-2423

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1013164037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SYLVAN AVE STE 102",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322505",
            "telephone_number": "201-886-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SYLVAN AVE STE 102",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322505",
            "telephone_number": "201-886-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Broad Ave Apt 1B",
            "address_purpose": "LOCATION",
            "city": "Palisades Park",
            "state": "NJ",
            "postal_code": "076501661",
            "country_code": "US",
            "telephone_number": "917-705-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YUN JU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01157100",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.