Banghun Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02258600 Issued in NJ

Practice address

11 E Harwood Ter
Palisades Park, NJ 07650-3184

Phone

(201) 944-0550

Fax

(201) 944-0212

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1043371461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E HARWOOD TER",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076503184",
            "telephone_number": "917-669-0693",
            "fax_number": "201-944-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E HARWOOD TER",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076503184",
            "telephone_number": "201-944-0550",
            "fax_number": "201-944-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 149th St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113543898",
            "country_code": "US",
            "telephone_number": "347-732-9203",
            "fax_number": "347-732-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BANGHUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054204",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02258600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Koerner, RPH
• Ashley Kwak
• Soochung Karen Kwak, D.M.D.
• Mun Hyuk Kwon, PIC
• Tiffany Lamb
• Chang Hee Lee
• Eun Kyung Lee, LAC.
• Eun-Jung Lee, DDS
• Eunsol Cho Lee, APN
• Hyojung Lee

• Dentist in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.