Grace Lee

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01139000 Issued in NJ

Practice address

200 Engle St Ste 21
Englewood, NJ 07631-2417

Phone

(201) 525-8926

NPI assigned

May 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1053101972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 12TH ST APT 3B",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076504105",
            "telephone_number": "973-525-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ENGLE ST STE 21",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312417",
            "telephone_number": "201-525-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01139000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Dominic Kyle Lavine, M.B.B.S
• George B Leber, MD, FACC
• Chester C Lee, MD
• Chong Mu Lee, L. AC.
• Edwin Lee, D.M.D.
• Jooyoung Lee
• Louis Young Lee
• Matthew Jon Lee
• Min Jung Lee, PHARM D.
• Richard Lee, MD

• Speech-Language Pathologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.