Individual provider Active NPI

Joo Young Melissa Lee, MD

  • Diagnostic Radiology Physician
  • Montclair, NJ
National Provider Identifier
1033166582
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07595000 Issued in NJ
Practice address
37 No Fullerton Avenue
Montclair Breast Center
Montclair, NJ 07042-3426
Phone
(973) 509-1818
Fax
(973) 509-0708
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07595000 NJ Primary
Diagnostic Ultrasound Physician 2085U0001X 25MA07595000 NJ

Addresses

Primary practice location

37 No Fullerton Avenue
Montclair Breast Center
Montclair, NJ 07042-3426

Mailing address

37 N Fullerton Ave Ste 2
Montclair, NJ 07042-3446
Phone (973) 509-1818

Other names 1

  • Nabila Hai Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000084 NJ Practitioner - Diagnostic Radiology 6406872605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montclair Breast Center PCGroup PAC ID 6608881602, 12 clinicians

Practice addresses (Care Compare)

37 N Fullerton Ave
2ND Floor
Montclair, NJ 07042-3446
Phone (973) 509-1818

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Breast Center PC Diagnostic Radiology CurrentSince Sep 2, 2003 Accepting new patients

Locations

37 N Fullerton Ave
Ste 2
Montclair, NJ 07042
Phone (973) 509-1818

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1033166582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N FULLERTON AVE STE 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423446",
            "telephone_number": "973-509-1818",
            "fax_number": "973-509-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NO FULLERTON AVENUE",
            "address_2": "MONTCLAIR BREAST CENTER",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423426",
            "telephone_number": "973-509-1818",
            "fax_number": "973-509-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOO YOUNG",
        "middle_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07595000",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA07595000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NABILA",
            "last_name": "HAI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.