Active NPI
Kyung Min Lee, NP-C
- Adult Health Nurse Practitioner
- Pompton Plains, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00326000
- Practice address
- 230 W Parkway
#10
Pompton Plains, NJ 07444-1060 - Phone
- (973) 835-0800
- NPI assigned
- Apr 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00326000 | NJ | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00326000 | NJ |
Addresses
Primary practice location
230 W Parkway
#10
Pompton Plains, NJ 07444-1060
Mailing address
230 W Parkway
#10
Pompton Plains, NJ 07444-1060
Phone (973) 835-0800
Other names 1
- Kyung-Min Lee
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596
1055 Hamburg Tpke
Wayne, NJ 07470-3235
Phone (973) 616-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Current | Accepting new patients |
Locations
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
1055 Hamburg Tpke
Ste 200
Wayne, NJ 07470
Phone (973) 248-1440
1055 Hamburg Tpke
Ste 300
Wayne, NJ 07470
Phone (973) 904-1177
Interoperability endpoints
- klee652277@nyumc.direct-ci.com
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.
-
dba Atlantic Medical Group
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba Chilton Medical Center
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1083904874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W PARKWAY",
"address_2": "#10",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441060",
"telephone_number": "973-835-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W PARKWAY",
"address_2": "#10",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441060",
"telephone_number": "973-835-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KYUNG MIN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00326000",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00326000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYUNG-MIN",
"last_name": "LEE",
"credential": "NP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.