Individual provider Active NPI

Jemius Dae Lee, D.O.

  • Emergency Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1063826014
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB10465800 Issued in NJ
Practice address
1080 Stelton Rd
Piscataway, NJ 08854-5201
Phone
(848) 230-6800
Fax
(848) 230-6803
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB10465800 NJ Primary
Emergency Medicine Physician 207P00000X 307840 NY

Addresses

Primary practice location

1080 Stelton Rd
Piscataway, NJ 08854-5201

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

16 Teterboro Landing Dr
Teterboro, NJ 07608-1120
Phone (201) 354-1953

Other practice location 2

97 W Parkway
Pompton Plains, NJ 07444-1647
Phone (973) 831-5447

Other practice location 3

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3426

Other practice location 4

1 Medical Center Dr
Suite 162
Stratford, NJ 08084-1500
Phone (856) 566-6708

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
I20181210001522 NJ Practitioner - Emergency Medicine 6800105073 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care Plus PCGroup PAC ID 4385624162, 14 clinicians
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians

Practice addresses (Care Compare)

111 James St
Edison, NJ 08820-3967
Phone (732) 452-9700

333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220

5 Marine View PLZ
Suite 101
Hoboken, NJ 07030-5756
Phone (848) 308-4612

769 Northfield Ave
West Orange, NJ 07052-1198
Phone (848) 308-4609

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307840NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Urgent Care Plus PC CurrentSince Oct 27, 2025 Accepting new patients
Atlantic Urgent Care, LLC CurrentSince Feb 14, 2021 Accepting new patients
Atlantic Advanced Urgent Care Emergency Medicine CurrentSince Aug 11, 2020 Accepting new patients
Hackensack Meridian Urgent Care, PC CurrentSince Jan 1, 2026 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
William R. Collini, M.D., P.a. PastSince Feb 14, 2021 Accepting new patients

Locations

111 James St
Edison, NJ 08820
Phone (732) 452-9700

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

181 High St
Newton, NJ 07860
Phone (973) 383-9898

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1063826014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545201",
            "telephone_number": "848-230-6800",
            "fax_number": "848-230-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Teterboro Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Teterboro",
            "state": "NJ",
            "postal_code": "076081120",
            "country_code": "US",
            "telephone_number": "201-354-1953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 W Parkway",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441647",
            "country_code": "US",
            "telephone_number": "973-831-5447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6245 Inkster Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481354001",
            "country_code": "US",
            "telephone_number": "734-458-3426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "Suite 162",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841500",
            "country_code": "US",
            "telephone_number": "856-566-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEMIUS",
        "middle_name": "DAE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10465800",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "307840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.