Jeffrey JK Lee MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

7140 Issued in HI

Legal business name

JEFFREY JK LEE MD INC

Practice address

1380 Lusitana St
Suite 407
Honolulu, HI 96813-2449

Phone

(808) 523-8833

Fax

(808) 528-1751

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey JK Lee, MDNPI 1629056528

Title

President

Phone

(808) 523-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J K Lee, M.D.

  • Specialist
  • Honolulu, HI
  • NPI 1629056528
  Medicare reassignment NPD Authorized official
• Jaime Lyn Hahn, FNP

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1922347681
  NPD (past)
• Jon F. Graham, MD

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1700847084

  Specialist

  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1083916837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-523-8833",
            "fax_number": "808-528-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-523-8833",
            "fax_number": "808-528-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY JK LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-523-8833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "7140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05957501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JCP Medical LLC
• JDMD Partners, LLP (JDMD Primary Care)
• Jeanie Li, PH.D., LLC
• Nancy Ann Jeffers, M.D.
• Jeffrey Jason Wong MD Inc (Honolulu Eye Clinic)
• Jeffrey Lim, MD, Inc.
• Jeffrey M Lin MD LLC
• Jeffrey M. Lau, M.D., Inc
• Alissa Jelf
• Ayse Gulfem Jelffs, M.D.

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.