Individual provider Active NPI

Andrew Seunghun Lee

  • Acupuncturist
  • Fort Lee, NJ
National Provider Identifier
1043839509
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006726 Issued in NY
Practice address
1622 Parker Ave Ste 2B
Fort Lee, NJ 07024-6927
Phone
(201) 815-7070
NPI assigned
Apr 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 006726 NY Primary

Addresses

Primary practice location

1622 Parker Ave Ste 2B
Fort Lee, NJ 07024-6927

Mailing address

45 E Central Blvd
Unit a
Palisades Park, NJ 07650
Phone (201) 815-7070

Other practice location 1

1 Rockland Park Ave Unit C
Tappan, NY 10983-2617
Phone (201) 815-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1043839509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E CENTRAL BLVD",
            "address_2": "UNIT A",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-815-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PARKER AVE STE 2B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246927",
            "telephone_number": "201-815-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Rockland Park Ave Unit C",
            "address_purpose": "LOCATION",
            "city": "Tappan",
            "state": "NY",
            "postal_code": "109832617",
            "country_code": "US",
            "telephone_number": "201-815-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "middle_name": "SEUNGHUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.