Jae Young Lee, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301033400 Issued in MI

Practice address

130 Washington St
Marine City, MI 48039-1680

Phone

(810) 765-8844

Fax

(810) 765-4326

NPI assigned

Jul 22, 2005

Reactivated

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Internal Medicine

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Jae Young Lee MD PC

  • Internal Medicine Physician
  • Marine City, MI
  • NPI 1811155039
  NPD Authorized official
• Peter R Pashley D.O.,P.C

  • Internal Medicine Physician
  • Sterling Heights, MI
  • NPI 1154447464
  NPD

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1104826973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WASHINGTON ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391680",
            "telephone_number": "810-765-8844",
            "fax_number": "810-765-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WASHINGTON ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391680",
            "telephone_number": "810-765-8844",
            "fax_number": "810-765-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2011-01-14",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301033400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068960",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kern Chiropractic Center
• Jacob Kern, D.C.
• Steven A Kern, DC
• Nicolette Sylvia Kowal, FNP-BC, ACNS-BC
• Rachel Krueger, MA, LPC
• Nikki Leonard
• LKC Counseling, PLLC
• Jennifer Irene Lowe
• Marine City Chiropractic PLLC
• Marine City Dental, P.C.

• Internal Medicine Physician in Marine City, MI
• Providers in Marine City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.

Verify at the official NPI Registry.