Jun Yup Lee, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00677700 Issued in NJ

Practice address

669 Broad Ave Ste 201
Ridgefield, NJ 07657-1631

Phone

(201) 585-1020

Fax

(201) 917-3588

NPI assigned

Feb 25, 2010

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Male

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jy Lee Chiropractic LLC

  dba JY LEE Chiropractic & Rehab

  • Chiropractor
  • Ridgefield, NJ
  • NPI 1427372010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1083936470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 BROAD AVE STE 201",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571631",
            "telephone_number": "201-585-1020",
            "fax_number": "201-917-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BROAD AVE STE 201",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571631",
            "telephone_number": "201-585-1020",
            "fax_number": "201-917-3588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Broad Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Palisades Park",
            "state": "NJ",
            "postal_code": "076501607",
            "country_code": "US",
            "telephone_number": "201-585-1020",
            "fax_number": "201-585-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUN YUP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00677700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind ABA LLC
• Lauren Marie Krolick, LPC
• Regina Krug, P.T.
• Hyuk Y Kwon, L.AC
• Susan Leahy-Mulroe, LCSW
• Kellie K Lee, DDS
• Mimi Shon Lee, MD
• Monica Lee, O.D.
• Sharon Inyoung Lee, PHARMD
• Michele Julie Lewis, M.D.

• Chiropractor in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.